26D0652393 CLIA NUMBER - FOUR SEASONS LIVING CENTER

Laboratory Demographics

CLIA Number: 26D0652393

Facility Name: FOUR SEASONS LIVING CENTER

Facility Address:
2800 HWY TT
SEDALIA, MO
ZIP 65301
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Facility Phone Number: 660 826-8803

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1699803999

Taxonomy: 376K00000X - Nurse's Aide
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.

CLIA Record

Field Name	Field Value
CLIA Number	26D0652393
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	FOUR SEASONS LIVING CENTER
Street	2800 HWY TT
City	SEDALIA
State	MO
ZIP	65301
Phone	660 826-8803
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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