Entity Details

Basic

Entity Type:
Residential Care Facilities (RCF)

Medicaid #:

CCN #:

Occupancy Type:
Beds

Max Occupancy:
10

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
976116

Initial License Date:
05/21/2026

Current License Date:
05/21/2026

Renewal Cycle:

Entity Type Renewal Cycle(months):
12

Expiration Date:
05/21/2027

Months Since Last Survey:

Entity Type Survey Cycle(months):
30

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
2812 Walker Street

City:
Sioux City

State:
Iowa

Zip:
51106

Phone:
(712) 898-1637

Fax:

URL:

Administrator/License #:
Stephanie Veurink / 106083

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: