Entity Details

Basic

Entity Type:
Residential Care Facilities for Persons with Mental Illness (RCF/PMI)

Medicaid #:
0892612

CCN #:

Occupancy Type:
Beds

Max Occupancy:
15

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
170501

Initial License Date:

Current License Date:
04/15/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
04/15/2026

Months Since Last Survey:
16

Entity Type Survey Cycle(months):
30

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
408 First Street NW

City:
Mason City

State:
Iowa

Zip:
50401-1503

Phone:
(641) 424-8708

Fax:
(641) 421-7688

URL:

Administrator/License #:
Angela Shapley /

Administrator Email:
angela@43northiowa.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: