Entity Details

Basic

Entity Type:
Assisted Living Programs for People with Dementia (ALP/D)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
106

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0003

Initial License Date:
11/03/1997

Current License Date:
05/31/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
05/31/2026

Months Since Last Survey:
6

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
3801 Grand Ave

City:
Des Moines

State:
Iowa

Zip:
50312-2800

Phone:
(515) 255-3499

Fax:
(515) 255-9344

URL:

Administrator/License #:
Angie Wadle / Administrator

Administrator Email:
awadle@newburyliving.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: