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26D0443150 CLIA NUMBER - 3RD STREET HEALTHCARE LLC DBA LEE'S SUMMIT PLACE

Laboratory Demographics

CLIA Number: 26D0443150

Facility Name: 3RD STREET HEALTHCARE LLC DBA LEE'S SUMMIT PLACE

Facility Address:
1501 SW 3RD STREET
LEES SUMMIT, MO
ZIP 64081
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Facility Phone Number: 816 525-6300

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1164912911

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 26D0443150
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name 3RD STREET HEALTHCARE LLC DBA LEE'S SUMMIT PLACE
Street 1501 SW 3RD STREET
City LEES SUMMIT
State MO
ZIP 64081
Phone 816 525-6300
CertificateType 4
CertificateEffectiveDate 1/16/2024
CertificateExpirationDate 1/15/2026
FacilityType Waiver

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