Entity Details

Oak Street Group Home ( RCF )

Basic

Entity Type:
Residential Care Facilities (RCF)

Medicaid #:
0894790

CCN #:

Occupancy Type:
Beds

Max Occupancy:
8

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
690223

Initial License Date:
01/01/1989

Current License Date:
01/03/2026

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
01/03/2027

Months Since Last Survey:
19

Entity Type Survey Cycle(months):
30

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
100 Oak Street

City:
Red Oak

State:
Iowa

Zip:
51566-1431

Phone:
(712) 623-9767

Fax:
(712) 623-4780

URL:

Administrator/License #:
Brenton Croll /

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

No Files Found

Licensure Rule Variance:

No Files Found