31D0939606 CLIA NUMBER - SOUTH MOUNTAIN REHABILITATION CENTER

Laboratory Demographics

CLIA Number: 31D0939606

Facility Name: SOUTH MOUNTAIN REHABILITATION CENTER

Facility Address:
2385 SPRINGFIELD AVENUE
VAUXHALL, NJ
ZIP 07088
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Facility Phone Number: 908 688-3400

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1962594770

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 31D0939606
LAB Type Other
Facility Name SOUTH MOUNTAIN REHABILITATION CENTER
Street 2385 SPRINGFIELD AVENUE
City VAUXHALL
State NJ
ZIP 07088
Phone 908 688-3400
CertificateType 4
CertificateEffectiveDate 1/28/2024
CertificateExpirationDate 1/27/2026
FacilityType Waiver

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