Entity Details

Genesis VNA ( HHA )

Basic

Entity Type:
Home Health Agencies (HHA)

Former Entity Name:
Genesis

Medicaid #:

CCN #:
167012

Occupancy Type:
Beds

Max Occupancy:
0

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:
21

Entity Type Survey Cycle(months):
36

Special Focus Facility:
No

Loss of NA Training Effective:
01/09/2025

Loss of NA Training Expires:
01/09/2027

Contact

Address:
2535 Maplecrest Road, Suite 8

City:
Bettendorf

State:
Iowa

Zip:
52722

Phone:
(563) 421-5500

Fax:
(563) 421-5202

URL:

Administrator/License #:
Jane Jungwirth /

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

No Files Found

Licensure Rule Variance:

No Files Found