Entity Details

Basic

Entity Type:
Home Health Agencies (HHA)

Former Entity Name:
Recover Health

Medicaid #:

CCN #:
167226

Occupancy Type:

Max Occupancy:
0

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
Community Health Accreditation Partner

License & Survey

License #:

Initial License Date:

Current License Date:

Renewal Cycle:

Entity Type Renewal Cycle(months):
356

Expiration Date:

Months Since Last Survey:
139

Entity Type Survey Cycle(months):
36

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
535 W. Broadway, Suite 201

City:
Council Bluffs

State:
Iowa

Zip:
51503

Phone:
(712) 325-8989

Fax:
(712) 325-4422

URL:

Administrator/License #:
Jessica Wunderlich / Administrator

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: