Provider Demographics
NPI:1952296014
Name:EDENCREST AT PLEASANT HILL, LLC
Entity type:Organization
Organization Name:EDENCREST AT PLEASANT HILL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL, DIRECTOR OF WELLNESS
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:NOLAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:239-446-8742
Mailing Address - Street 1:6900 WESTOWN PKWY
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-2520
Mailing Address - Country:US
Mailing Address - Phone:515-243-3228
Mailing Address - Fax:
Practice Address - Street 1:6151 MARTHA L MILLER DR
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:IA
Practice Address - Zip Code:50327-6101
Practice Address - Country:US
Practice Address - Phone:515-498-3609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-10
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility