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05D2227984 CLIA NUMBER - THE GROVE ASSISTED LIVING

Laboratory Demographics

CLIA Number: 05D2227984

Facility Name: THE GROVE ASSISTED LIVING

Facility Address:
3401 LEMON STREET APT 605 3RD FLOOR
RIVERSIDE, CA
ZIP 92501
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Facility Phone Number: 951 686-8202

Facility Type: Assisted Living Facility

Certificate Type: Waiver
NPI Number: 1356588826

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 05D2227984
LAB Type Assisted Living Facility
Facility Name THE GROVE ASSISTED LIVING
Street 3401 LEMON STREET APT 605 3RD FLOOR
City RIVERSIDE
State CA
ZIP 92501
Phone 951 686-8202
CertificateType 4
CertificateEffectiveDate 6/21/2023
CertificateExpirationDate 6/20/2025
FacilityType Waiver

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