Entity Details

Phoenix House ( RCF )

Basic

Entity Type:
Residential Care Facilities (RCF)

Medicaid #:

CCN #:

Occupancy Type:
Beds

Max Occupancy:
15

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
506114

Initial License Date:
11/01/2023

Current License Date:
11/02/2025

Renewal Cycle:

Entity Type Renewal Cycle(months):
12

Expiration Date:
11/02/2026

Months Since Last Survey:
25

Entity Type Survey Cycle(months):
30

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1500 First Avenue East

City:
Newton

State:
Iowa

Zip:
50208

Phone:
(515) 304-3345

Fax:
(515) 608-4433

URL:

Administrator/License #:
Breanna Elliott /

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

No Files Found

Licensure Rule Variance:

No Files Found