Entity Details

Basic

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

Former Entity Name:
Edencrest at Timberline

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
40

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0471

Initial License Date:
05/10/2023

Current License Date:
05/10/2025

Renewal Cycle:

Entity Type Renewal Cycle(months):
24

Expiration Date:
05/10/2027

Months Since Last Survey:
9

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
14001 Douglas Parkway

City:
Urbandale

State:
Iowa

Zip:
50323

Phone:
(515) 802-0926

Fax:
(515) 895-1380

URL:

Administrator/License #:
Geoff Counasse /

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: