16D2044723 CLIA NUMBER - HANSEN HOUSE

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Laboratory Demographics

CLIA Number: 16D2044723

Facility Name: HANSEN HOUSE

Facility Address:
2331 NASH BOULEVARD
COUNCIL BLUFFS, IA
ZIP 51501
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Facility Phone Number: 712 242-5734

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1174068969

Taxonomy: 311500000X - Alzheimer Center (Dementia Center)
A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

CLIA Record

Field Name	Field Value
CLIA Number	16D2044723
LAB Type	Assisted Living Facility
Facility Name	HANSEN HOUSE
Street	2331 NASH BOULEVARD
City	COUNCIL BLUFFS
State	IA
ZIP	51501
Phone	712 242-5734
CertificateType	4
CertificateEffectiveDate	7/30/2022
CertificateExpirationDate	7/29/2024
FacilityType	Waiver

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