Entity Details

Basic

Entity Type:
Residential Care Facilities (RCF)

Former Entity Name:
Charter Senior Living Of Northpark Place

Medicaid #:

CCN #:

Occupancy Type:
Beds

Max Occupancy:
60

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
970058

Initial License Date:
01/20/1994

Current License Date:
06/21/2026

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
06/21/2027

Months Since Last Survey:
20

Entity Type Survey Cycle(months):
30

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
2562 Pierce Street

City:
Sioux City

State:
Iowa

Zip:
51104-3706

Phone:
(712) 255-1200

Fax:
(712) 255-6715

URL:

Administrator/License #:
Jean Stevens /

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: