Entity Details

Basic

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

Former Entity Name:
Maggie'S Place At Northridge Village

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
16

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0436

Initial License Date:
08/07/2020

Current License Date:
08/07/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
08/07/2026

Months Since Last Survey:
10

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
3301 Stange Road

City:
Ames

State:
Iowa

Zip:
50010

Phone:
(515) 232-1000

Fax:
(515) 337-1903

URL:

Administrator/License #:
Kayla Zellmer / 089008

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: