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19D0649397 CLIA NUMBER - CONCORDIA NURSING HOME/CAMELOT LEASURE LIVING

Laboratory Demographics

CLIA Number: 19D0649397

Facility Name: CONCORDIA NURSING HOME/CAMELOT LEASURE LIVING

Facility Address:
6818 HIGHWAY 84 WEST
FERRIDAY, LA
ZIP 71334
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Facility Phone Number: 318 757-2181

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1639116056

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 19D0649397
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CONCORDIA NURSING HOME/CAMELOT LEASURE LIVING
Street 6818 HIGHWAY 84 WEST
City FERRIDAY
State LA
ZIP 71334
Phone 318 757-2181
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