05D0681691 CLIA NUMBER - MISSION HILLS POST ACUTE CARE

Laboratory Demographics

CLIA Number: 05D0681691

Facility Name: MISSION HILLS POST ACUTE CARE

Facility Address:
3680 REYNARD WAY
SAN DIEGO, CA
ZIP 92103
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Facility Phone Number: 619 297-4484

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1669875563

Taxonomy: 314000000X - Skilled Nursing Facility
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

CLIA Record

Field Name	Field Value
CLIA Number	05D0681691
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	MISSION HILLS POST ACUTE CARE
Street	3680 REYNARD WAY
City	SAN DIEGO
State	CA
ZIP	92103
Phone	619 297-4484
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024