Entity Details

Basic

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

Former Entity Name:
Heritage At Northern Hills

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
128

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0058

Initial License Date:
08/24/1999

Current License Date:
12/12/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
12/12/2027

Months Since Last Survey:
17

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
4002 Teton Trace

City:
Sioux City

State:
Iowa

Zip:
51104-4387

Phone:
(712) 239-9402

Fax:
(712) 239-9406

URL:

Administrator/License #:
Christy Nikkel /

Administrator Email:
cnikkel@heritage-communities.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: