26D0663809 CLIA NUMBER - LIFE CARE CENTER OF GRANDVIEW

Laboratory Demographics

CLIA Number: 26D0663809

Facility Name: LIFE CARE CENTER OF GRANDVIEW

Facility Address:
6301 E 125TH STREET
GRANDVIEW, MO
ZIP 64030
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Facility Phone Number: 816 765-7714

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1700833431

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	26D0663809
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	LIFE CARE CENTER OF GRANDVIEW
Street	6301 E 125TH STREET
City	GRANDVIEW
State	MO
ZIP	64030
Phone	816 765-7714
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