Entity Details

Basic

Entity Type:
Adult Day Services (ADS)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
70

Status:
Active

Close Date:

Accredited:
Commission on Accreditation of Rehabilitation Facilities

Accredited/Deemed:
No Record Found

License & Survey

License #:
AADS503

Initial License Date:
09/30/2004

Current License Date:
08/31/2024

Renewal Cycle:
1095

Entity Type Renewal Cycle(months):
36

Expiration Date:
08/31/2027

Months Since Last Survey:

Entity Type Survey Cycle(months):
36

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1725 O Avenue NW

City:
Cedar Rapids

State:
Iowa

Zip:
52405-1520

Phone:
(319) 398-3647

Fax:
(319) 398-3954

URL:

Administrator/License #:
Joni Thompson /

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: