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33D0890062 CLIA NUMBER - ST PATRICKS HOME

Laboratory Demographics

CLIA Number: 33D0890062

Facility Name: ST PATRICKS HOME

Facility Address:
66 VAN CORTLANDT PARK SOUTH
BRONX, NY
ZIP 10463
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Facility Phone Number: 718 519-2800

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1568435402

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 33D0890062
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ST PATRICKS HOME
Street 66 VAN CORTLANDT PARK SOUTH
City BRONX
State NY
ZIP 10463
Phone 718 519-2800
CertificateType 4
CertificateEffectiveDate 12/8/2005
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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