Entity Details

Basic

Entity Type:
Assisted Living Programs for People with Dementia (ALP/D)

Former Entity Name:
Independence Village of Ames Memory Care

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
30

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0041

Initial License Date:
04/23/2001

Current License Date:
04/23/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
04/23/2027

Months Since Last Survey:
22

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1325 Coconino Rd, Ste 300

City:
Ames

State:
Iowa

Zip:
50014-7842

Phone:
(515) 292-2858

Fax:
(515) 296-2134

URL:

Administrator/License #:
Sydney Petersen /

Administrator Email:
sydney.petersen@independencevillages.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: