17D0966033 CLIA NUMBER - WHEATRIDGE PARK CARE CENTER

Laboratory Demographics

CLIA Number: 17D0966033

Facility Name: WHEATRIDGE PARK CARE CENTER

Facility Address:
1501 SOUTH HOLLY DRIVE
LIBERAL, KS
ZIP 67901
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Facility Phone Number: 620 624-0130

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1013309830

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	17D0966033
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	WHEATRIDGE PARK CARE CENTER
Street	1501 SOUTH HOLLY DRIVE
City	LIBERAL
State	KS
ZIP	67901
Phone	620 624-0130
CertificateType	4
CertificateEffectiveDate	10/6/2023
CertificateExpirationDate	10/5/2025
FacilityType	Waiver

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