OrganizationActive
Edencrest at Kettlestone, LLC
NPI 1215822366 · Assisted Living Facility · Waukee, IA
Edencrest at Kettlestone, LLC is a Assisted Living Facility organization in Waukee, IA (NPI 1215822366).
Provider details
- NPI number
- 1215822366
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Susan Cunningham, Director of Wellness(515) 510-9022
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
805 Se Tallgrass Ln
Waukee, IA 50263-6819
Phone: (515) 498-5380
Approximate (ZIP-level) locationGet directions
Mailing address
6900 Westown Pkwy
West Des Moines, IA 50266-2520
Other names (DBA / former)
- Doing business as
- Edencrest at Kettlestone, LLC
Registry dates
- Enumerated
- 2025-06-10
- Last updated
- 2025-06-13
- Certified
- 2025-06-13
Frequently asked questions
- What is Edencrest at Kettlestone, LLC's NPI number?
- Edencrest at Kettlestone, LLC's National Provider Identifier (NPI) is 1215822366, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edencrest at Kettlestone, LLC?
- Edencrest at Kettlestone, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Edencrest at Kettlestone, LLC located?
- Edencrest at Kettlestone, LLC's practice location on file with NPPES is 805 Se Tallgrass Ln, Waukee, IA 50263-6819.
- What is Edencrest at Kettlestone, LLC's phone number?
- The practice phone number listed in the NPPES registry for Edencrest at Kettlestone, LLC is (515) 498-5380.
- Who is the authorized official for Edencrest at Kettlestone, LLC?
- The authorized official listed on Edencrest at Kettlestone, LLC's NPPES record is Susan Cunningham, Director of Wellness. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edencrest at Kettlestone, LLC's NPI active?
- Yes — Edencrest at Kettlestone, LLC's NPI (1215822366) is active in the NPPES registry as of the last update on 2025-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.