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17D0704529 CLIA NUMBER - LEGACY ON 10TH AVENUE

Laboratory Demographics

CLIA Number: 17D0704529

Facility Name: LEGACY ON 10TH AVENUE

Facility Address:
2015 SE 10TH AVENUE
TOPEKA, KS
ZIP 66607
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Facility Phone Number: 785 233-8918

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1396114054

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 17D0704529
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LEGACY ON 10TH AVENUE
Street 2015 SE 10TH AVENUE
City TOPEKA
State KS
ZIP 66607
Phone 785 233-8918
CertificateType 4
CertificateEffectiveDate 8/18/2022
CertificateExpirationDate 8/17/2024
FacilityType Waiver

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