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06D0516220 CLIA NUMBER - CREEKSIDE VILLAGE HEALTH AND REHABILITATION CENTER

Laboratory Demographics

CLIA Number: 06D0516220

Facility Name: CREEKSIDE VILLAGE HEALTH AND REHABILITATION CENTER

Facility Address:
1000 EAST STUART ST
FORT COLLINS, CO
ZIP 80525
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Facility Phone Number: 303 482-5712

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1508432535

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 06D0516220
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CREEKSIDE VILLAGE HEALTH AND REHABILITATION CENTER
Street 1000 EAST STUART ST
City FORT COLLINS
State CO
ZIP 80525
Phone 303 482-5712
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