Healther Providers Data Logo

14D2054741 CLIA NUMBER - THE BRIDGE CARE SUITES

Laboratory Demographics

CLIA Number: 14D2054741

Facility Name: THE BRIDGE CARE SUITES

Facility Address:
3089 OLD JACKSONVILLE RD
SPRINGFIELD, IL
ZIP 62704
Get Directions

Facility Phone Number: 217 787-0000

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1447592118

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 14D2054741
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name THE BRIDGE CARE SUITES
Street 3089 OLD JACKSONVILLE RD
City SPRINGFIELD
State IL
ZIP 62704
Phone 217 787-0000
CertificateType 4
CertificateEffectiveDate 2/27/2023
CertificateExpirationDate 2/26/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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