Ccrc of West Des Moines, LLC
NPI 1093286395 · Skilled Nursing Facility · West Des Moines, IA
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ccrc of West Des Moines, LLC is a Skilled Nursing Facility organization in West Des Moines, IA (NPI 1093286395).
Provider details
- NPI number
- 1093286395
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Scott Gulledge, Manager By Contract(913) 890-4780
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Cedar Ridge Village
Registry dates
- Enumerated
- 2018-12-12
- Last updated
- 2018-12-12
Frequently asked questions
- What is Ccrc of West Des Moines, LLC's NPI number?
- Ccrc of West Des Moines, LLC's National Provider Identifier (NPI) is 1093286395, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ccrc of West Des Moines, LLC?
- Ccrc of West Des Moines, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Ccrc of West Des Moines, LLC located?
- Ccrc of West Des Moines, LLC's practice location on file with NPPES is 8950 Coachlight Drive, West Des Moines, IA 50266.
- What is Ccrc of West Des Moines, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ccrc of West Des Moines, LLC is (515) 369-2100.
- Does Ccrc of West Des Moines, LLC accept Medicare?
- Ccrc of West Des Moines, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ccrc of West Des Moines, LLC?
- The authorized official listed on Ccrc of West Des Moines, LLC's NPPES record is Scott Gulledge, Manager By Contract. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ccrc of West Des Moines, LLC's NPI active?
- Yes — Ccrc of West Des Moines, LLC's NPI (1093286395) is active in the NPPES registry as of the last update on 2018-12-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.