Entity Details

Basic

Entity Type:
Home Health Agencies (HHA)

Former Entity Name:
Unitypoint At Home

Medicaid #:

CCN #:
167149

Occupancy Type:

Max Occupancy:
0

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:
132

Entity Type Survey Cycle(months):
36

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
214 S 25th Street

City:
Fort Dodge

State:
Iowa

Zip:
50501

Phone:
(515) 574-6416

Fax:
(515) 574-6985

URL:

Administrator/License #:
Julie Peterson / Administrator

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: