EDENCREST AT BEAVERDALE
NPI: 1427563022
· DES MOINES, IA 50310
· Assisted Living Facility
· NPI assigned 12/06/2017
Provider Details
| Authorized Official | PATTERSON, SAM (MANAGER) |
| Parent Organization | BEAVERDALE SENIOR LIVING, LLC |
| NPI Enumeration Date | 12/06/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
56 |
$22K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
| S5125 |
Attendant care services; per 15 minutes |
15 |
13 |
$9K |
| T2031 |
Assisted living; waiver, per diem |
13 |
13 |
$8K |
| S5170 |
Home delivered meals, including preparation; per meal |
28 |
13 |
$5K |