Entity Details

Basic

Entity Type:
Home Health Agencies (HHA)

Former Entity Name:
Winneshiek Medical Center Home Health

Medicaid #:

CCN #:
167190

Occupancy Type:

Max Occupancy:
0

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
The Joint Commission

License & Survey

License #:

Initial License Date:

Current License Date:

Renewal Cycle:

Entity Type Renewal Cycle(months):
356

Expiration Date:

Months Since Last Survey:
128

Entity Type Survey Cycle(months):
36

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
901 Montgomery Street, Ste D

City:
Decorah

State:
Iowa

Zip:
52101-0000

Phone:
(563) 387-3024

Fax:
(563) 387-3116

URL:

Administrator/License #:
Nancy Haberichter /

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: