34D0244369 CLIA NUMBER - SOUTHMINSTER INC

Laboratory Demographics

CLIA Number: 34D0244369

Facility Name: SOUTHMINSTER INC

Facility Address:
8919 PARK RD
CHARLOTTE, NC
ZIP 28210
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Facility Phone Number: 704 551-6800

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1255596979

Taxonomy: 311500000X - Alzheimer Center (Dementia Center)
A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

CLIA Record

Field Name	Field Value
CLIA Number	34D0244369
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	SOUTHMINSTER INC
Street	8919 PARK RD
City	CHARLOTTE
State	NC
ZIP	28210
Phone	704 551-6800
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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