Entity Details

Basic

Entity Type:
Adult Day Services (ADS)

Former Entity Name:
Jane's Place At Center For Active Seniors, Inc.

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
40

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
ADS110

Initial License Date:
03/15/2005

Current License Date:
03/15/2025

Renewal Cycle:
1095

Entity Type Renewal Cycle(months):
36

Expiration Date:
03/14/2028

Months Since Last Survey:
18

Entity Type Survey Cycle(months):
36

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1035 West Kimberly Road

City:
Davenport

State:
Iowa

Zip:
52806-5709

Phone:
(563) 386-7477

Fax:
(563) 386-1089

URL:

Administrator/License #:
Mikael Gibson / Program Administrator

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: