05D0926365 CLIA NUMBER - VILLA HEALTH CARE CENTER

Laboratory Demographics

CLIA Number: 05D0926365

Facility Name: VILLA HEALTH CARE CENTER

Facility Address:
8965 MAGNOLIA AVE
RIVERSIDE, CA
ZIP 92503
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Facility Phone Number: 909 689-5788

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1386629889

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	05D0926365
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	VILLA HEALTH CARE CENTER
Street	8965 MAGNOLIA AVE
City	RIVERSIDE
State	CA
ZIP	92503
Phone	909 689-5788
CertificateType	4
CertificateEffectiveDate	3/20/2023
CertificateExpirationDate	3/19/2025
FacilityType	Waiver

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