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05D0880591 CLIA NUMBER - B SPRING VALLEY, LLC DBA BRIGHTON PLACE - SPRING VALLEY

Laboratory Demographics

CLIA Number: 05D0880591

Facility Name: B SPRING VALLEY, LLC DBA BRIGHTON PLACE - SPRING VALLEY

Facility Address:
9009 CAMPO ROAD
SPRING VALLEY, CA
ZIP 91977
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Facility Phone Number: 619 460-2711

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1780682021

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 05D0880591
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name B SPRING VALLEY, LLC DBA BRIGHTON PLACE - SPRING VALLEY
Street 9009 CAMPO ROAD
City SPRING VALLEY
State CA
ZIP 91977
Phone 619 460-2711
CertificateType 4
CertificateEffectiveDate 12/16/2023
CertificateExpirationDate 12/15/2025
FacilityType Waiver

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