19D0690816 CLIA NUMBER - LE GRAND HEALTHCARE & REHABILITATION CENTER HILLVIEW NURSING HOME, INC

Laboratory Demographics

CLIA Number: 19D0690816

Facility Name: LE GRAND HEALTHCARE & REHABILITATION CENTER HILLVIEW NURSING HOME, INC

Facility Address:
650 HOLT STREET
BASTROP, LA
ZIP 71220
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Facility Phone Number: 318 281-0322

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1649267915

Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

CLIA Record

Field Name Field Value
CLIA Number 19D0690816
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LE GRAND HEALTHCARE & REHABILITATION CENTER HILLVIEW NURSING HOME, INC
Street 650 HOLT STREET
City BASTROP
State LA
ZIP 71220
Phone 318 281-0322
CertificateType 4
CertificateEffectiveDate 3/11/2023
CertificateExpirationDate 3/10/2025
FacilityType Waiver

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