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21D0960753 CLIA NUMBER - FAYETTE HEALTH & REHABILITATION CENTER

Laboratory Demographics

CLIA Number: 21D0960753

Facility Name: FAYETTE HEALTH & REHABILITATION CENTER

Facility Address:
1217 WEST FAYETTE STREET
BALTIMORE, MD
ZIP 21223
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Facility Phone Number: 410 727-3947

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1851578082

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 21D0960753
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FAYETTE HEALTH & REHABILITATION CENTER
Street 1217 WEST FAYETTE STREET
City BALTIMORE
State MD
ZIP 21223
Phone 410 727-3947
CertificateType 4
CertificateEffectiveDate 5/19/2023
CertificateExpirationDate 5/18/2025
FacilityType Waiver

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