10D0681082 CLIA NUMBER - ENTERPRISE NURSING HOME

Laboratory Demographics

CLIA Number: 10D0681082

Facility Name: ENTERPRISE NURSING HOME

Facility Address:
300 PLAZA DRIVE
ENTERPRISE, AL
ZIP 36330
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Facility Phone Number: 334 347-9541

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1649389610

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	10D0681082
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	ENTERPRISE NURSING HOME
Street	300 PLAZA DRIVE
City	ENTERPRISE
State	AL
ZIP	36330
Phone	334 347-9541
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