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26D2114380 CLIA NUMBER - GLEN HENDREN DRIVE HEALTHCARE LLC DBA LIBERTY HEALTH AND WELLNESS

Laboratory Demographics

CLIA Number: 26D2114380

Facility Name: GLEN HENDREN DRIVE HEALTHCARE LLC DBA LIBERTY HEALTH AND WELLNESS

Facility Address:
2201 GLENN HENDREN DRIVE
LIBERTY, MO
ZIP 64068
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Facility Phone Number: 816 736-8800

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1538790977

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 26D2114380
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GLEN HENDREN DRIVE HEALTHCARE LLC DBA LIBERTY HEALTH AND WELLNESS
Street 2201 GLENN HENDREN DRIVE
City LIBERTY
State MO
ZIP 64068
Phone 816 736-8800
CertificateType 4
CertificateEffectiveDate 6/13/2022
CertificateExpirationDate 6/12/2024
FacilityType Waiver

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