28D0454629 CLIA NUMBER - ROSE BLUMKIN JEWISH HOME

Laboratory Demographics

CLIA Number: 28D0454629

Facility Name: ROSE BLUMKIN JEWISH HOME

Facility Address:
323 SOUTH 132 STREET
OMAHA, NE
ZIP 68154
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Facility Phone Number: 402 330-4272

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1295733764

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	28D0454629
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	ROSE BLUMKIN JEWISH HOME
Street	323 SOUTH 132 STREET
City	OMAHA
State	NE
ZIP	68154
Phone	402 330-4272
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