Entity Details

Basic

Entity Type:
Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID)

Former Entity Name:
Harmony House Health Care Center Icf/id

Medicaid #:
0881730

CCN #:
16G009

Occupancy Type:
Beds

Max Occupancy:
54

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
070357

Initial License Date:

Current License Date:
01/02/2024

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
01/01/2025

Months Since Last Survey:
8

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
2950 West Shaulis Road

City:
Waterloo

State:
Iowa

Zip:
50701-9218

Phone:
(319) 234-4495

Fax:
(319) 234-1831

URL:

Administrator/License #:
Lisa Elwick / 02407

Administrator Email:
lelwick@abcmcorp.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: