Entity Details

Basic

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

Medicaid #:
0880039

CCN #:
16G006

Occupancy Type:
Beds

Max Occupancy:
52

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
710526

Initial License Date:
07/10/1976

Current License Date:
07/11/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
07/11/2026

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:
330 Village Circle

City:
Sheldon

State:
Iowa

Zip:
51201-1299

Phone:
(712) 324-4873

Fax:
(712) 324-4877

URL:

Administrator/License #:
Barry Whitsell /

Administrator Email:
bwhitsell@villagenorthwest.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: