Entity Details

Mica Hill Estates ( ALP )

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
28

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0097

Initial License Date:
10/04/2000

Current License Date:
10/03/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
10/03/2026

Months Since Last Survey:
19

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
2121 Ave L

City:
Hawarden

State:
Iowa

Zip:
51023-1361

Phone:
(712) 551-1074

Fax:
(712) 551-2393

URL:

Administrator/License #:
Amanda Birch /

Administrator Email:
ABirch@EnsignServices.net

Files

Life Safety Code (LSC) Waiver:

No Files Found

Licensure Rule Variance:

No Files Found