OrganizationActive
Edencrest at Kettlestone, LLC
NPI 1215822366 · Assisted Living Facility · Waukee, IA
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(54/100 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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.