Entity Details

Northridge Village ( ALP )

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
68

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0353

Initial License Date:
09/01/2015

Current License Date:
09/01/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
09/01/2027

Months Since Last Survey:
7

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
3300 George Washington Carver Avenue

City:
Ames

State:
Iowa

Zip:
50010

Phone:
(515) 232-1000

Fax:
(515) 337-9003

URL:

Administrator/License #:
Kayla Zellmer / 089008

Administrator Email:
kayla.zellmer@nrv-ames.com

Files

Life Safety Code (LSC) Waiver:

No Files Found

Licensure Rule Variance:

No Files Found