10D0022890 CLIA NUMBER - HARTS HARBOR HEALTH CARE CENTER

Laboratory Demographics

CLIA Number: 10D0022890

Facility Name: HARTS HARBOR HEALTH CARE CENTER

Facility Address:
11565 HARTS RD
JACKSONVILLE, FL
ZIP 32218
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Facility Phone Number: 904 751-1834

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1669741302

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	10D0022890
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	HARTS HARBOR HEALTH CARE CENTER
Street	11565 HARTS RD
City	JACKSONVILLE
State	FL
ZIP	32218
Phone	904 751-1834
CertificateType	4
CertificateEffectiveDate	4/14/2023
CertificateExpirationDate	4/13/2025
FacilityType	Waiver

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