Entity Details

Good Samaritan Society - Home Care ( HHA )

Basic

Entity Type:
Home Health Agencies (HHA)

Medicaid #:

CCN #:
167416

Occupancy Type:
Beds

Max Occupancy:

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:

Initial License Date:

Current License Date:

Renewal Cycle:

Entity Type Renewal Cycle(months):
356

Expiration Date:

Months Since Last Survey:
20

Entity Type Survey Cycle(months):
36

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
708 S. Jefferson Way

City:
Indianola

State:
Iowa

Zip:
50125-0319

Phone:
(515) 961-2596

Fax:
(515) 961-2860

URL:

Administrator/License #:
Kara Cline /

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

No Files Found

Licensure Rule Variance:

No Files Found