28D0455990 CLIA NUMBER - PLUM CREEK CARE CENTER / WEL LIFE AT PLUM CREEK

Laboratory Demographics

CLIA Number: 28D0455990

Facility Name: PLUM CREEK CARE CENTER / WEL LIFE AT PLUM CREEK

Facility Address:
1505 NORTH ADAMS STREET
LEXINGTON, NE
ZIP 68850
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Facility Phone Number: 308 324-5531

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1972504207

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 28D0455990
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PLUM CREEK CARE CENTER / WEL LIFE AT PLUM CREEK
Street 1505 NORTH ADAMS STREET
City LEXINGTON
State NE
ZIP 68850
Phone 308 324-5531
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