Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
36

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0030

Initial License Date:
09/20/1999

Current License Date:
02/08/2026

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
02/08/2028

Months Since Last Survey:
16

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
308 North 12th Street

City:
Bellevue

State:
Iowa

Zip:
52031-1944

Phone:
(563) 872-5521

Fax:
(563) 872-5609

URL:

Administrator/License #:
Lenae Sieverding / Administrator

Administrator Email:
lsieverding@millvalleycarecenter.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: