Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
49

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0008

Initial License Date:
06/01/1998

Current License Date:
05/31/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
05/31/2026

Months Since Last Survey:
35

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1536 20th Ave N

City:
Fort Dodge

State:
Iowa

Zip:
50501-7134

Phone:
(515) 573-3300

Fax:
(515) 576-1593

URL:

Administrator/License #:
Christine Beagle / 111312

Administrator Email:
Christine.beagle@bickfordseniorliving.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: