29D0941626 CLIA NUMBER - EL JEN SKILLED CARE

Laboratory Demographics

CLIA Number: 29D0941626

Facility Name: EL JEN SKILLED CARE

Facility Address:
5538 W DUNCAN DRIVE
LAS VEGAS, NV
ZIP 89130
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Facility Phone Number: 323 203-8836

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1992707806

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	29D0941626
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	EL JEN SKILLED CARE
Street	5538 W DUNCAN DRIVE
City	LAS VEGAS
State	NV
ZIP	89130
Phone	323 203-8836
CertificateType	4
CertificateEffectiveDate	2/27/2024
CertificateExpirationDate	2/26/2026
FacilityType	Waiver

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