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31D2011832 CLIA NUMBER - EVERGREENS CCRC, THE

Laboratory Demographics

CLIA Number: 31D2011832

Facility Name: EVERGREENS CCRC, THE

Facility Address:
309 BRIDGEBORO ROAD
MOORESTOWN, NJ
ZIP 08057
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Facility Phone Number: 267 787-4136

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1205902756

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 31D2011832
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name EVERGREENS CCRC, THE
Street 309 BRIDGEBORO ROAD
City MOORESTOWN
State NJ
ZIP 08057
Phone 267 787-4136
CertificateType 4
CertificateEffectiveDate 8/24/2022
CertificateExpirationDate 8/23/2024
FacilityType Waiver

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