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14D2196986 CLIA NUMBER - LINCOLNWOOD PLACE

Laboratory Demographics

CLIA Number: 14D2196986

Facility Name: LINCOLNWOOD PLACE

Facility Address:
7000 MCCORMICK BLVD
LINCOLNWOOD, IL
ZIP 60712
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Facility Phone Number: 847 673-7166

Facility Type: Assisted Living Facility

Certificate Type: Waiver
NPI Number: 1194149591

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 14D2196986
LAB Type Assisted Living Facility
Facility Name LINCOLNWOOD PLACE
Street 7000 MCCORMICK BLVD
City LINCOLNWOOD
State IL
ZIP 60712
Phone 847 673-7166
CertificateType 4
CertificateEffectiveDate 10/21/2022
CertificateExpirationDate 10/20/2024
FacilityType Waiver

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