Entity Details

Basic

Entity Type:
Licensed Only Entity (Licensed Only Entity)

Medicaid #:

CCN #:

Occupancy Type:
Beds

Max Occupancy:
54

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
850462

Initial License Date:
09/14/1976

Current License Date:
09/14/2024

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
09/14/2025

Months Since Last Survey:
8

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1801 20th Street

City:
Ames

State:
Iowa

Zip:
50010-5179

Phone:
(515) 232-6760

Fax:
(515) 233-2935

URL:

Administrator/License #:
Margo Weiland / 116212

Administrator Email:
mweiland@northcrestcommunity.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: