Entity Details

Basic

Entity Type:
Free Standing NF/SNF (Free Standing NF/SNF)

Former Entity Name:
The Ambassador Sidney Inc

Medicaid #:
0809640

CCN #:
165474

Occupancy Type:
Beds

Max Occupancy:
46

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
360156

Initial License Date:

Current License Date:
05/01/2024

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
05/01/2025

Months Since Last Survey:
15

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
115 Main Street

City:
Sidney

State:
Iowa

Zip:
51652-0000

Phone:
(712) 374-2693

Fax:
(712) 374-3064

URL:

Administrator/License #:
Jade Harrah / 116950

Administrator Email:
jharrah@ambhealthsys.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: