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14D2200064 CLIA NUMBER - IH FOX VALLEY OPCO, LLC

Laboratory Demographics

CLIA Number: 14D2200064

Facility Name: IH FOX VALLEY OPCO, LLC

Facility Address:
4020 E NEW YORK ST
AURORA, IL
ZIP 60504
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Facility Phone Number: 847 720-8700

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1730790817

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 14D2200064
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name IH FOX VALLEY OPCO, LLC
Street 4020 E NEW YORK ST
City AURORA
State IL
ZIP 60504
Phone 847 720-8700
CertificateType 4
CertificateEffectiveDate 11/13/2022
CertificateExpirationDate 11/12/2024
FacilityType Waiver

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