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10D0976916 CLIA NUMBER - CCRC OPCO - BRADENTON LLC DBA THE INN AT FREEDOM VILLAGE

Laboratory Demographics

CLIA Number: 10D0976916

Facility Name: CCRC OPCO - BRADENTON LLC DBA THE INN AT FREEDOM VILLAGE

Facility Address:
6410 21ST AVENUE W
BRADENTON, FL
ZIP 34209
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Facility Phone Number: 941 798-8200

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1013947084

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 10D0976916
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CCRC OPCO - BRADENTON LLC DBA THE INN AT FREEDOM VILLAGE
Street 6410 21ST AVENUE W
City BRADENTON
State FL
ZIP 34209
Phone 941 798-8200
CertificateType 4
CertificateEffectiveDate 8/16/2022
CertificateExpirationDate 8/15/2024
FacilityType Waiver

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