Healther Providers Data Logo

28D2235805 CLIA NUMBER - IMMANUEL

Laboratory Demographics

CLIA Number: 28D2235805

Facility Name: IMMANUEL

Facility Address:
1044 N 115TH STREET, SUITE 500
OMAHA, NE
ZIP 68154
Get Directions

Facility Phone Number: 402 829-2900

Facility Type: Other - HLTH CARE PRVDR HOME OFFI

Certificate Type: Waiver
NPI Number: 1811335839

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 28D2235805
LAB Type Other - HLTH CARE PRVDR HOME OFFI
Facility Name IMMANUEL
Street 1044 N 115TH STREET, SUITE 500
City OMAHA
State NE
ZIP 68154
Phone 402 829-2900
CertificateType 4
CertificateEffectiveDate 9/13/2023
CertificateExpirationDate 9/12/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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