33D0653548 CLIA NUMBER - FIELDSTON LODGE CARE CENTER

Laboratory Demographics

CLIA Number: 33D0653548

Facility Name: FIELDSTON LODGE CARE CENTER

Facility Address:
666 KAPPOCK STREET
BRONX, NY
ZIP 10463
Get Directions

Facility Phone Number: 718 549-1203

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1679797625

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	33D0653548
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	FIELDSTON LODGE CARE CENTER
Street	666 KAPPOCK STREET
City	BRONX
State	NY
ZIP	10463
Phone	718 549-1203
CertificateType	4
CertificateEffectiveDate	9/1/1994
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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