14D0938656 CLIA NUMBER - JOLIET TERRACE NURSING CENTER (DBA) J T CARE LLC

Laboratory Demographics

CLIA Number: 14D0938656

Facility Name: JOLIET TERRACE NURSING CENTER (DBA) J T CARE LLC

Facility Address:
2230 MCDONOUGH STREET
JOLIET, IL
ZIP 60436
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Facility Phone Number: 815 729-3801

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1134209364

Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

CLIA Record

Field Name	Field Value
CLIA Number	14D0938656
LAB Type	Other
Facility Name	JOLIET TERRACE NURSING CENTER (DBA) J T CARE LLC
Street	2230 MCDONOUGH STREET
City	JOLIET
State	IL
ZIP	60436
Phone	815 729-3801
CertificateType	4
CertificateEffectiveDate	9/6/2022
CertificateExpirationDate	9/5/2024
FacilityType	Waiver

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