Entity Details

Basic

Entity Type:
Assisted Living Programs for People with Dementia (ALP/D)

Former Entity Name:
Stirlingshire Of Coralville MC

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
40

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0445

Initial License Date:
04/09/2021

Current License Date:
04/10/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
04/10/2027

Months Since Last Survey:
25

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1140 Kennedy Parkway

City:
Coralville

State:
Iowa

Zip:
52241

Phone:
(319) 338-8100

Fax:

URL:

Administrator/License #:
Amy Kubik-Hasley /

Administrator Email:
amy.kubik-hasley@stirlingshireofcoralville.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: