Entity Details

Basic

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

Former Entity Name:
Northbrook Manor Care Center

Medicaid #:
0802900

CCN #:
165587

Occupancy Type:
Beds

Max Occupancy:
130

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
570720

Initial License Date:
11/01/1976

Current License Date:
03/01/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
03/01/2026

Months Since Last Survey:
6

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
6420 Council Street NE

City:
Cedar Rapids

State:
Iowa

Zip:
52402-1129

Phone:
(319) 393-1447

Fax:
(319) 378-9533

URL:

Administrator/License #:
Lori Bellinger / #002383

Administrator Email:
administrator@northbrookhcrc.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: