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14D0670349 CLIA NUMBER - FARMER CITY REHAB & HEALTH CARE PETERSEN HEALTH CARE - FARMER CITY LLC

Laboratory Demographics

CLIA Number: 14D0670349

Facility Name: FARMER CITY REHAB & HEALTH CARE PETERSEN HEALTH CARE - FARMER CITY LLC

Facility Address:
404 BROOKVIEW DR
FARMER CITY, IL
ZIP 61842
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Facility Phone Number: 309 928-2118

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1184882490

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 14D0670349
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FARMER CITY REHAB & HEALTH CARE PETERSEN HEALTH CARE - FARMER CITY LLC
Street 404 BROOKVIEW DR
City FARMER CITY
State IL
ZIP 61842
Phone 309 928-2118
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