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18D0713538 CLIA NUMBER - EPISCOPAL CHURCH HOME, INC DBA,, THE EPISCOPAL CHURCH HOME, THE

Laboratory Demographics

CLIA Number: 18D0713538

Facility Name: EPISCOPAL CHURCH HOME, INC DBA,, THE EPISCOPAL CHURCH HOME, THE

Facility Address:
7504 WESTPORT ROAD ATTN BEVERLY EDWARDS
LOUISVILLE, KY
ZIP 40222
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Facility Phone Number: 502 425-8840

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1811012289

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 18D0713538
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name EPISCOPAL CHURCH HOME, INC DBA,, THE EPISCOPAL CHURCH HOME, THE
Street 7504 WESTPORT ROAD ATTN BEVERLY EDWARDS
City LOUISVILLE
State KY
ZIP 40222
Phone 502 425-8840
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