35D2207817 CLIA NUMBER - KINDER CARE ASSISTED LIVING

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Laboratory Demographics

CLIA Number: 35D2207817

Facility Name: KINDER CARE ASSISTED LIVING

Facility Address:
2235 SHILOH ST
WEST FARGO, ND
ZIP 58078
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Facility Phone Number: 701 281-3016

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1366731507

Taxonomy: 253Z00000X - In Home Supportive Care
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

CLIA Record

Field Name	Field Value
CLIA Number	35D2207817
LAB Type	Assisted Living Facility
Facility Name	KINDER CARE ASSISTED LIVING
Street	2235 SHILOH ST
City	WEST FARGO
State	ND
ZIP	58078
Phone	701 281-3016
CertificateType	4
CertificateEffectiveDate	12/31/2022
CertificateExpirationDate	12/30/2024
FacilityType	Waiver

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