Entity Details

Senior Suites of Urbandale ( RCF )

Basic

Entity Type:
Residential Care Facilities (RCF)

Former Entity Name:
Senior Suites Of Urbandale

Medicaid #:

CCN #:

Occupancy Type:
Beds

Max Occupancy:
35

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
770702

Initial License Date:
05/03/1996

Current License Date:
05/04/2026

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
05/04/2027

Months Since Last Survey:
34

Entity Type Survey Cycle(months):
30

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
4700 84th Street

City:
Urbandale

State:
Iowa

Zip:
50322-1091

Phone:
(515) 270-9700

Fax:
(515) 270-9582

URL:

Administrator/License #:
Demaris Luttenegger /

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

No Files Found

Licensure Rule Variance:

No Files Found