14D0678934 CLIA NUMBER - ARCADIA CARE BLOOMINGTON

Laboratory Demographics

CLIA Number: 14D0678934

Facility Name: ARCADIA CARE BLOOMINGTON

Facility Address:
1509 CALHOUN ST
BLOOMINGTON, IL
ZIP 61701
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Facility Phone Number: 309 827-6046

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1649643628

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	14D0678934
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	ARCADIA CARE BLOOMINGTON
Street	1509 CALHOUN ST
City	BLOOMINGTON
State	IL
ZIP	61701
Phone	309 827-6046
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