14D2174984 CLIA NUMBER - SPRING CREEK S N F

Laboratory Demographics

CLIA Number: 14D2174984

Facility Name: SPRING CREEK S N F

Facility Address:
777 DRAPER AVE
JOLIET, IL
ZIP 60432
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Facility Phone Number: 815 727-4794

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1235552993

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	14D2174984
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	SPRING CREEK S N F
Street	777 DRAPER AVE
City	JOLIET
State	IL
ZIP	60432
Phone	815 727-4794
CertificateType	4
CertificateEffectiveDate	11/13/2023
CertificateExpirationDate	11/12/2025
FacilityType	Waiver

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