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34D0997593 CLIA NUMBER - AUTUMN CARE OF NASH

Laboratory Demographics

CLIA Number: 34D0997593

Facility Name: AUTUMN CARE OF NASH

Facility Address:
1210 EASTERN AVE
NASHVILLE, NC
ZIP 27856
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Facility Phone Number: 252 462-0070

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1053396788

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 34D0997593
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AUTUMN CARE OF NASH
Street 1210 EASTERN AVE
City NASHVILLE
State NC
ZIP 27856
Phone 252 462-0070
CertificateType 4
CertificateEffectiveDate 3/21/2024
CertificateExpirationDate 3/20/2026
FacilityType Waiver

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