15D0360451 CLIA NUMBER - HEALTH & HOSPITAL CORP OF MARION CO D/B/A ROSEBUD VILLAGE

Laboratory Demographics

CLIA Number: 15D0360451

Facility Name: HEALTH & HOSPITAL CORP OF MARION CO D/B/A ROSEBUD VILLAGE

Facility Address:
2050 CHESTER BLVD
RICHMOND, IN
ZIP 47374
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Facility Phone Number: 765 935-4440

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1568975878

Taxonomy: 363L00000X - Nurse Practitioner
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

CLIA Record

Field Name	Field Value
CLIA Number	15D0360451
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	HEALTH & HOSPITAL CORP OF MARION CO D/B/A ROSEBUD VILLAGE
Street	2050 CHESTER BLVD
City	RICHMOND
State	IN
ZIP	47374
Phone	765 935-4440
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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