Entity Details

Basic

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

Former Entity Name:
ABCM Rehabilitation Centers of Independence West Campus

Medicaid #:
0807388

CCN #:
165303

Occupancy Type:
Beds

Max Occupancy:
70

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
100331

Initial License Date:
12/30/1986

Current License Date:
08/15/2024

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
08/15/2025

Months Since Last Survey:
11

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:
01/08/2024

Loss of NA Training Expires:
01/07/2026

Contact

Address:
1610 Third Street NE

City:
Independence

State:
Iowa

Zip:
50644-2264

Phone:
(319) 334-6039

Fax:
(319) 334-9025

URL:

Administrator/License #:
Amber Hunt / 002568

Administrator Email:
ahunt@independencerehabcenter.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: