22D0924037 CLIA NUMBER - MILLBURY HEALTH CARE CENTER

Laboratory Demographics

CLIA Number: 22D0924037

Facility Name: MILLBURY HEALTH CARE CENTER

Facility Address:
312 MILLBURY AVENUE
MILLBURY, MA
ZIP 01527
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Facility Phone Number: 508 793-0088

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1942209721

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	22D0924037
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	MILLBURY HEALTH CARE CENTER
Street	312 MILLBURY AVENUE
City	MILLBURY
State	MA
ZIP	01527
Phone	508 793-0088
CertificateType	4
CertificateEffectiveDate	1/16/2023
CertificateExpirationDate	1/15/2025
FacilityType	Waiver

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