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11D0645945 CLIA NUMBER - HILL HAVEN OPCO, LLC DBA HILL HAVEN NURSING HOME

Laboratory Demographics

CLIA Number: 11D0645945

Facility Name: HILL HAVEN OPCO, LLC DBA HILL HAVEN NURSING HOME

Facility Address:
880 RIDGEWAY ROAD
COMMERCE, GA
ZIP 30529
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Facility Phone Number: 706 336-8000

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1750353835

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 11D0645945
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HILL HAVEN OPCO, LLC DBA HILL HAVEN NURSING HOME
Street 880 RIDGEWAY ROAD
City COMMERCE
State GA
ZIP 30529
Phone 706 336-8000
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