Healther Providers Data Logo

11D0898960 CLIA NUMBER - PARK PLACE NURSING FACILITY

Laboratory Demographics

CLIA Number: 11D0898960

Facility Name: PARK PLACE NURSING FACILITY

Facility Address:
1865 BOLD SPRINGS RD NW
MONROE, GA
ZIP 30656
Get Directions

Facility Phone Number: 770 267-8677

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1972518611

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 11D0898960
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PARK PLACE NURSING FACILITY
Street 1865 BOLD SPRINGS RD NW
City MONROE
State GA
ZIP 30656
Phone 770 267-8677
CertificateType 4
CertificateEffectiveDate 3/16/2023
CertificateExpirationDate 3/15/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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