10D0939044 CLIA NUMBER - PORT CHARLOTTE LIVING CENTER

Laboratory Demographics

CLIA Number: 10D0939044

Facility Name: PORT CHARLOTTE LIVING CENTER

Facility Address:
18480 COCHRAN BLVD
PORT CHARLOTTE, FL
ZIP 33948
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Facility Phone Number: 941 743-4700

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1043233992

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	10D0939044
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	PORT CHARLOTTE LIVING CENTER
Street	18480 COCHRAN BLVD
City	PORT CHARLOTTE
State	FL
ZIP	33948
Phone	941 743-4700
CertificateType	4
CertificateEffectiveDate	1/20/2024
CertificateExpirationDate	1/19/2026
FacilityType	Waiver

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