Entity Details

Basic

Entity Type:
Hospice (Hospice)

Former Entity Name:
St. Croix Hospice, Llc

Medicaid #:

CCN #:
161607

Occupancy Type:
Beds

Max Occupancy:

Status:
Active

Close Date:

Accredited:
Community Health Accreditation Partner

Accredited/Deemed:
Community Health Accreditation Partner

License & Survey

License #:

Initial License Date:

Current License Date:

Renewal Cycle:

Entity Type Renewal Cycle(months):
24

Expiration Date:

Months Since Last Survey:

Entity Type Survey Cycle(months):
36

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
802 Lake St, Ste 3

City:
Spirit Lake

State:
Iowa

Zip:
51360

Phone:
(999) 999-9999

Fax:
(999) 999-9999

URL:

Administrator/License #:
Amy Abbott / Administrator

Administrator Email:
mcogswell@saintcroixhospice.om

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: