Entity Details

Basic

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

Former Entity Name:
Friendly Horizons, Llc

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
16

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0433

Initial License Date:
04/01/2020

Current License Date:
03/31/2026

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
03/30/2028

Months Since Last Survey:
23

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
645 1st Avenue SW

City:
Sioux Center

State:
Iowa

Zip:
51250-7522

Phone:
(712) 722-5153

Fax:
(712) 722-5154

URL:

Administrator/License #:
Jassiel Garcia /

Administrator Email:
friendlyhorizons.care@gmail.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: