Entity Details

Basic

Entity Type:
Residential Care Facilities (RCF)

Former Entity Name:
Imagine The Possibilities, Inc - Andrew Jackson Care

Medicaid #:

CCN #:

Occupancy Type:
Beds

Max Occupancy:
15

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
480114

Initial License Date:

Current License Date:
12/02/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
12/02/2026

Months Since Last Survey:
27

Entity Type Survey Cycle(months):
30

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
18720 250th Avenue

City:
Bellevue

State:
Iowa

Zip:
52031

Phone:
(563) 748-2800

Fax:
(563) 672-3802

URL:

Administrator/License #:
Angela Wood /

Administrator Email:
awood@imagineia.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: