28D1060632 CLIA NUMBER - EDGEWOOD GRAND ISLAND SENIOR LIVING

Laboratory Demographics

CLIA Number: 28D1060632

Facility Name: EDGEWOOD GRAND ISLAND SENIOR LIVING

Facility Address:
214 NORTH PIPER
GRAND ISLAND, NE
ZIP 68803
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Facility Phone Number: 308 384-0717

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1285923631

Taxonomy: 311500000X - Alzheimer Center (Dementia Center)
A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

CLIA Record

Field Name	Field Value
CLIA Number	28D1060632
LAB Type	Other
Facility Name	EDGEWOOD GRAND ISLAND SENIOR LIVING
Street	214 NORTH PIPER
City	GRAND ISLAND
State	NE
ZIP	68803
Phone	308 384-0717
CertificateType	4
CertificateEffectiveDate	10/27/2022
CertificateExpirationDate	10/26/2024
FacilityType	Waiver

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