Entity Details

Basic

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

Former Entity Name:
Carlisle Center For Wellness & Rehab

Medicaid #:
0807347

CCN #:
165255

Occupancy Type:
Beds

Max Occupancy:
80

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
910796

Initial License Date:

Current License Date:
08/01/2023

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
07/31/2024

Months Since Last Survey:
10

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:
12/15/2022

Loss of NA Training Expires:
12/14/2024

Contact

Address:
680 Cole Street

City:
Carlisle

State:
Iowa

Zip:
50047-8733

Phone:
(515) 989-0871

Fax:
(515) 989-0007

URL:
http://viahealthservices.com

Administrator/License #:
Erika Schmidt / 106111

Administrator Email:
eschmidt@viahealthservices.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: