Entity Details

Springvale Assisted Living ( ALP )

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
32

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0203

Initial License Date:
12/13/2004

Current License Date:
12/13/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
12/13/2026

Months Since Last Survey:
13

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1050 15th Street North

City:
Humboldt

State:
Iowa

Zip:
50548-1076

Phone:
(515) 332-7660

Fax:
(515) 332-7646

URL:

Administrator/License #:
Tamela Kuehnast /

Administrator Email:
tamelak@humboldthospital.org

Files

Life Safety Code (LSC) Waiver:

No Files Found

Licensure Rule Variance:

No Files Found