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30D1011286 CLIA NUMBER - COLONIAL POPLIN NURSING HOME INC

Laboratory Demographics

CLIA Number: 30D1011286

Facility Name: COLONIAL POPLIN NURSING HOME INC

Facility Address:
442 MAIN ST
FREMONT, NH
ZIP 03044
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Facility Phone Number: 603 895-3126

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1720179898

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 30D1011286
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COLONIAL POPLIN NURSING HOME INC
Street 442 MAIN ST
City FREMONT
State NH
ZIP 03044
Phone 603 895-3126
CertificateType 4
CertificateEffectiveDate 4/7/2023
CertificateExpirationDate 4/6/2025
FacilityType Waiver

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