15D0891934 CLIA NUMBER - PULASKI HEALTH CARE CENTER

Laboratory Demographics

CLIA Number: 15D0891934

Facility Name: PULASKI HEALTH CARE CENTER

Facility Address:
624 E 13TH ST
WINAMAC, IN
ZIP 46996
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Facility Phone Number: 574 946-6022

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1710930524

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 15D0891934
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PULASKI HEALTH CARE CENTER
Street 624 E 13TH ST
City WINAMAC
State IN
ZIP 46996
Phone 574 946-6022
CertificateType 4
CertificateEffectiveDate 9/21/2022
CertificateExpirationDate 9/20/2024
FacilityType Waiver

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