Ccrc of West Des Moines, LLC
NPI 1093286395ActiveOrganization· Skilled Nursing Facility· West Des Moines, IA
Skilled Nursing Facility in West Des Moines, Iowa, registered in NPPES in December 2018. The authorized official on file is Scott Gulledge, Manager By Contract. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1093286395 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 12, 2018 |
| Last updated in NPPES | Dec 12, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (IA) |
|---|
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