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05D2162305 CLIA NUMBER - VALLEY GRACE HOME, INC

Laboratory Demographics

CLIA Number: 05D2162305

Facility Name: VALLEY GRACE HOME, INC

Facility Address:
16052 CHASE STREET
NORTH HILLS, CA
ZIP 91343
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Facility Phone Number: 818 305-6255

Facility Type: Other - CONGREGATE LIVING FAC

Certificate Type: Waiver
NPI Number: 1043691371

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 05D2162305
LAB Type Other - CONGREGATE LIVING FAC
Facility Name VALLEY GRACE HOME, INC
Street 16052 CHASE STREET
City NORTH HILLS
State CA
ZIP 91343
Phone 818 305-6255
CertificateType 4
CertificateEffectiveDate 2/20/2023
CertificateExpirationDate 2/19/2025
FacilityType Waiver

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