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25D0911644 CLIA NUMBER - MADISON COUNTY NURSING HOME

Laboratory Demographics

CLIA Number: 25D0911644

Facility Name: MADISON COUNTY NURSING HOME

Facility Address:
1421-A EAST PEACE STREET PO BOX 488
CANTON, MS
ZIP 39046
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Facility Phone Number: 601 855-5760

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1750431391

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 25D0911644
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MADISON COUNTY NURSING HOME
Street 1421-A EAST PEACE STREET PO BOX 488
City CANTON
State MS
ZIP 39046
Phone 601 855-5760
CertificateType 4
CertificateEffectiveDate 2/12/2024
CertificateExpirationDate 2/11/2026
FacilityType Waiver

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