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33D2159303 CLIA NUMBER - PELHAM PARKWAY NURSING CARE AND REHAB FACILITY LLC

Laboratory Demographics

CLIA Number: 33D2159303

Facility Name: PELHAM PARKWAY NURSING CARE AND REHAB FACILITY LLC

Facility Address:
2401 LACONIA AVE
BRONX, NY
ZIP 10469
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Facility Phone Number: 718 798-8600

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1306827456

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 33D2159303
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PELHAM PARKWAY NURSING CARE AND REHAB FACILITY LLC
Street 2401 LACONIA AVE
City BRONX
State NY
ZIP 10469
Phone 718 798-8600
CertificateType 4
CertificateEffectiveDate 12/17/2018
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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