Entity Details

Basic

Entity Type:
Home Health Agencies (HHA)

Former Entity Name:
New Choices, INC

Medicaid #:

CCN #:
167409

Occupancy Type:
Beds

Max Occupancy:

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
Accreditation Commission for Health Care, Inc

License & Survey

License #:

Initial License Date:

Current License Date:

Renewal Cycle:

Entity Type Renewal Cycle(months):
356

Expiration Date:

Months Since Last Survey:
111

Entity Type Survey Cycle(months):
36

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
2501 18th St Ste 201

City:
Bettendorf

State:
Iowa

Zip:
52722

Phone:
(563) 355-5502

Fax:
(563) 355-5414

URL:

Administrator/License #:
Andrea Kent /

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: