Entity Details

Prime Assisted Living ( ALP )

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
120

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0245

Initial License Date:
10/27/2006

Current License Date:
10/27/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
10/27/2026

Months Since Last Survey:
25

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
725 Pearl Street

City:
Sioux City

State:
Iowa

Zip:
51101-1014

Phone:
(712) 226-6300

Fax:
(712) 226-6361

URL:

Administrator/License #:
Missie Fischer /

Administrator Email:
primeliving1@outlook.com

Files

Life Safety Code (LSC) Waiver:

No Files Found

Licensure Rule Variance:

No Files Found