Entity Details

Basic

Entity Type:
Assisted Living Programs for People with Dementia (ALP/D)

Former Entity Name:
Edencrest At Siena Hills

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
132

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0368

Initial License Date:
09/19/2017

Current License Date:
09/19/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
09/19/2027

Months Since Last Survey:
27

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
455 SW Ankeny Road

City:
Ankeny

State:
Iowa

Zip:
50021

Phone:
(515) 238-9005

Fax:
(515) 777-3227

URL:

Administrator/License #:
Tiffany Michaud /

Administrator Email:
tmichaud@edencrestliving.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: