Entity Details

Wesleylife Home Health ( HHA )

Basic

Entity Type:
Home Health Agencies (HHA)

Medicaid #:

CCN #:
167295

Occupancy Type:
Beds

Max Occupancy:
0

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:

Initial License Date:

Current License Date:

Renewal Cycle:

Entity Type Renewal Cycle(months):
356

Expiration Date:

Months Since Last Survey:
21

Entity Type Survey Cycle(months):
36

Special Focus Facility:
No

Loss of NA Training Effective:
11/18/2025

Loss of NA Training Expires:
11/18/2027

Contact

Address:
4328 114th Street

City:
Urbandale

State:
Iowa

Zip:
50322

Phone:
(515) 978-2777

Fax:
(515) 288-4740

URL:

Administrator/License #:
Rachel Evans /

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

No Files Found

Licensure Rule Variance:

No Files Found