07D0703469 CLIA NUMBER - PORTLAND CARE AND REHABILITAION CENTRE

Laboratory Demographics

CLIA Number: 07D0703469

Facility Name: PORTLAND CARE AND REHABILITAION CENTRE

Facility Address:
333 MAIN STREET
PORTLAND, CT
ZIP 06480
Get Directions

Facility Phone Number: 860 342-0370

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1003947177

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	07D0703469
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	PORTLAND CARE AND REHABILITAION CENTRE
Street	333 MAIN STREET
City	PORTLAND
State	CT
ZIP	06480
Phone	860 342-0370
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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