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28D2115573 CLIA NUMBER - OGLALA SIOUX LAKOTA NURSING HOME, INC

Laboratory Demographics

CLIA Number: 28D2115573

Facility Name: OGLALA SIOUX LAKOTA NURSING HOME, INC

Facility Address:
7835 ELDERS DRIVE STATE HIGHWAY 87
RUSHVILLE, NE
ZIP 69360
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Facility Phone Number: 308 862-4020

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1821446253

Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

CLIA Record

Field Name Field Value
CLIA Number 28D2115573
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name OGLALA SIOUX LAKOTA NURSING HOME, INC
Street 7835 ELDERS DRIVE STATE HIGHWAY 87
City RUSHVILLE
State NE
ZIP 69360
Phone 308 862-4020
CertificateType 4
CertificateEffectiveDate 7/11/2022
CertificateExpirationDate 7/10/2024
FacilityType Waiver

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