Entity Details

Basic

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

Former Entity Name:
Edencrest At Beaverdale

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
160

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0369

Initial License Date:
10/27/2017

Current License Date:
10/27/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
10/27/2027

Months Since Last Survey:
18

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
3410 Beaverdale Avenue

City:
Des Moines

State:
Iowa

Zip:
50310

Phone:
(515) 777-5105

Fax:
(515) 777-1969

URL:

Administrator/License #:
Jody Stubbs /

Administrator Email:
JStubbs@edencrestliving.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: