Entity Details

Basic

Entity Type:
Home Health Agencies (HHA)

Former Entity Name:
Angels Care Home Health Of Iowa

Medicaid #:

CCN #:
167436

Occupancy Type:

Max Occupancy:

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
Accreditation Commission for Health Care, Inc

License & Survey

License #:

Initial License Date:

Current License Date:

Renewal Cycle:

Entity Type Renewal Cycle(months):
356

Expiration Date:

Months Since Last Survey:

Entity Type Survey Cycle(months):
36

Special Focus Facility:
No

Loss of NA Training Effective:
12/12/2024

Loss of NA Training Expires:
12/12/2026

Contact

Address:
3125 Douglas Avenue Suite 205

City:
Des Moines

State:
Iowa

Zip:
50310

Phone:
(515) 252-2847

Fax:

URL:

Administrator/License #:
Aimee Rainbolt /

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: