Entity Details

Basic

Entity Type:
Assisted Living Programs (ALP)

Former Entity Name:
Senior Suites Of Urbandale

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
100

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0098

Initial License Date:
11/02/2000

Current License Date:
11/02/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
11/02/2026

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:
4700 84th St

City:
Urbandale

State:
Iowa

Zip:
50322-7352

Phone:
(515) 270-9700

Fax:
(515) 270-9582

URL:

Administrator/License #:
Dee Luttenegger /

Administrator Email:
dee@seniorsuitesofurbandale.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: