14D0434412 CLIA NUMBER - FRIENDSHIP MANOR HEALTH CENTER

Laboratory Demographics

CLIA Number: 14D0434412

Facility Name: FRIENDSHIP MANOR HEALTH CENTER

Facility Address:
485 S FRIENDSHIP DR
NASHVILLE, IL
ZIP 62263
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Facility Phone Number: 618 327-3041

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1063666949

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	14D0434412
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	FRIENDSHIP MANOR HEALTH CENTER
Street	485 S FRIENDSHIP DR
City	NASHVILLE
State	IL
ZIP	62263
Phone	618 327-3041
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