Entity Details

Ellen Kennedy Living Center ( ALP )

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
64

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0155

Initial License Date:
09/27/2002

Current License Date:
09/26/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
09/26/2026

Months Since Last Survey:
10

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1177 7th Street SW

City:
Dyersville

State:
Iowa

Zip:
52040-2513

Phone:
(563) 875-6323

Fax:
(563) 875-6268

URL:
https://www.ellenkennedylivingcenter.com

Administrator/License #:
Kari Wittmeyer /

Administrator Email:
wittmeyk@mercyhealth.com

Files

Life Safety Code (LSC) Waiver:

No Files Found

Licensure Rule Variance:

No Files Found