18D0323272 CLIA NUMBER - HOMESTEAD POST ACUTE

Laboratory Demographics

CLIA Number: 18D0323272

Facility Name: HOMESTEAD POST ACUTE

Facility Address:
1608 VERSAILLES RD
LEXINGTON, KY
ZIP 40504
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Facility Phone Number: 606 252-0871

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1043205065

Taxonomy: 3140N1450X - Skilled Nursing Facility
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.

CLIA Record

Field Name	Field Value
CLIA Number	18D0323272
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	HOMESTEAD POST ACUTE
Street	1608 VERSAILLES RD
City	LEXINGTON
State	KY
ZIP	40504
Phone	606 252-0871
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