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28D1106302 CLIA NUMBER - GOOD SAMARITAN SOCIETY - GRAND ISLAND VILLAGE

Laboratory Demographics

CLIA Number: 28D1106302

Facility Name: GOOD SAMARITAN SOCIETY - GRAND ISLAND VILLAGE

Facility Address:
4055 TIMBERLINE STREET
GRAND ISLAND, NE
ZIP 68803
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Facility Phone Number: 308 384-3535

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1841520723

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 28D1106302
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GOOD SAMARITAN SOCIETY - GRAND ISLAND VILLAGE
Street 4055 TIMBERLINE STREET
City GRAND ISLAND
State NE
ZIP 68803
Phone 308 384-3535
CertificateType 4
CertificateEffectiveDate 10/9/2023
CertificateExpirationDate 10/8/2025
FacilityType Waiver

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