Entity Details

Basic

Entity Type:
Free Standing NF/SNF (Free Standing NF/SNF)

Former Entity Name:
Longview Home, Inc.

Medicaid #:
0802272

CCN #:
165373

Occupancy Type:
Beds

Max Occupancy:
100

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
430093

Initial License Date:
04/01/1964

Current License Date:
04/01/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
04/01/2026

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:
1010 Longview Road

City:
Missouri Valley

State:
Iowa

Zip:
51555-1227

Phone:
(712) 642-2264

Fax:
(402) 442-1315

URL:

Administrator/License #:
Kelly Pattison / 100465

Administrator Email:
KPattison@azriahealth.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: