Entity Details

Basic

Entity Type:
Residential Care Facilities (RCF)

Medicaid #:

CCN #:

Occupancy Type:
Beds

Max Occupancy:
15

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
578962

Initial License Date:
05/16/2019

Current License Date:
03/29/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
03/29/2026

Months Since Last Survey:
5

Entity Type Survey Cycle(months):
30

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
202 12th Street NW

City:
Cedar Rapids

State:
Iowa

Zip:
52405

Phone:
(319) 362-1382

Fax:

URL:

Administrator/License #:
Jennifer O'Brien /

Administrator Email:
Jennifer.OBrien@unitypoint.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: