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36D0973154 CLIA NUMBER - GARDENS AT ST HENRY, THE

Laboratory Demographics

CLIA Number: 36D0973154

Facility Name: GARDENS AT ST HENRY, THE

Facility Address:
522 WESTERN AVENUE
ST HENRY, OH
ZIP 45883
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Facility Phone Number: 419 678-9800

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1821614231

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 36D0973154
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GARDENS AT ST HENRY, THE
Street 522 WESTERN AVENUE
City ST HENRY
State OH
ZIP 45883
Phone 419 678-9800
CertificateType 4
CertificateEffectiveDate 4/27/2024
CertificateExpirationDate 4/26/2026
FacilityType Waiver

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