29D2189892 CLIA NUMBER - WICKER BASKET LLC

Laboratory Demographics

CLIA Number: 29D2189892

Facility Name: WICKER BASKET LLC

Facility Address:
3020 BEAUFORT CT
N LAS VEGAS, NV
ZIP 89032
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Facility Phone Number: 702 631-0791

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1073006706

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	29D2189892
LAB Type	Assisted Living Facility
Facility Name	WICKER BASKET LLC
Street	3020 BEAUFORT CT
City	N LAS VEGAS
State	NV
ZIP	89032
Phone	702 631-0791
CertificateType	4
CertificateEffectiveDate	8/6/2022
CertificateExpirationDate	8/5/2024
FacilityType	Waiver

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