Entity Details

Ninth Street Group Home ( RCF )

Basic

Entity Type:
Residential Care Facilities (RCF)

Medicaid #:
0892844

CCN #:

Occupancy Type:
Beds

Max Occupancy:
12

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
340957

Initial License Date:
07/15/1988

Current License Date:
08/07/2026

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
08/07/2027

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:
310 9th Street

City:
Charles City

State:
Iowa

Zip:
50616-0457

Phone:
(641) 228-5785

Fax:

URL:

Administrator/License #:
Melissa Mann /

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

No Files Found

Licensure Rule Variance:

No Files Found