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14D2164729 CLIA NUMBER - WHITE HALL NURSING & REHABILITATION CENTER

Laboratory Demographics

CLIA Number: 14D2164729

Facility Name: WHITE HALL NURSING & REHABILITATION CENTER

Facility Address:
620 W BRIDGEPORT ST
WHITE HALL, IL
ZIP 62092
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Facility Phone Number: 217 374-2144

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1023183431

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 14D2164729
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WHITE HALL NURSING & REHABILITATION CENTER
Street 620 W BRIDGEPORT ST
City WHITE HALL
State IL
ZIP 62092
Phone 217 374-2144
CertificateType 4
CertificateEffectiveDate 9/6/2023
CertificateExpirationDate 9/5/2025
FacilityType Waiver

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