18D0954829 CLIA NUMBER - MADONNA MANOR

Laboratory Demographics

CLIA Number: 18D0954829

Facility Name: MADONNA MANOR

Facility Address:
2344 AMSTERDAM RD
VILLA HILLS, KY
ZIP 41017
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Facility Phone Number: 606 341-3981

Facility Type: Intermediate Care Facility for Mentally Retarded

Certificate Type: Waiver

NPI Number: 1043215296

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	18D0954829
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	MADONNA MANOR
Street	2344 AMSTERDAM RD
City	VILLA HILLS
State	KY
ZIP	41017
Phone	606 341-3981
CertificateType	4
CertificateEffectiveDate	12/10/2022
CertificateExpirationDate	12/9/2024
FacilityType	Waiver

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