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16D0721137 CLIA NUMBER - WESTVIEW OF INDIANOLA CARE CENTER

Laboratory Demographics

CLIA Number: 16D0721137

Facility Name: WESTVIEW OF INDIANOLA CARE CENTER

Facility Address:
1900 WEST THIRD PLACE
INDIANOLA, IA
ZIP 50125
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Facility Phone Number: 515 961-3189

Facility Type: Practitioner Other

Certificate Type: Waiver
NPI Number: 1740282391

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 16D0721137
LAB Type Practitioner Other
Facility Name WESTVIEW OF INDIANOLA CARE CENTER
Street 1900 WEST THIRD PLACE
City INDIANOLA
State IA
ZIP 50125
Phone 515 961-3189
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