23D0904499 CLIA NUMBER - LUTHERAN HOME - MONROE

Laboratory Demographics

CLIA Number: 23D0904499

Facility Name: LUTHERAN HOME - MONROE

Facility Address:
1236 S MONROE STREET
MONROE, MI
ZIP 48161
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Facility Phone Number: 313 241-9533

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1417951146

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	23D0904499
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	LUTHERAN HOME - MONROE
Street	1236 S MONROE STREET
City	MONROE
State	MI
ZIP	48161
Phone	313 241-9533
CertificateType	4
CertificateEffectiveDate	8/22/2023
CertificateExpirationDate	8/21/2025
FacilityType	Waiver

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