14D0723340 CLIA NUMBER - CHARLESTON REHAB & HEALTH CARE CENTER

Laboratory Demographics

CLIA Number: 14D0723340

Facility Name: CHARLESTON REHAB & HEALTH CARE CENTER

Facility Address:
716 18TH ST
CHARLESTON, IL
ZIP 61920
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Facility Phone Number: 217 345-7054

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1245879162

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 14D0723340
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CHARLESTON REHAB & HEALTH CARE CENTER
Street 716 18TH ST
City CHARLESTON
State IL
ZIP 61920
Phone 217 345-7054
CertificateType 4
CertificateEffectiveDate 1/17/2024
CertificateExpirationDate 1/16/2026
FacilityType Waiver

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