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36D1017493 CLIA NUMBER - WINDSOR HOUSE AT CHAMPION

Laboratory Demographics

CLIA Number: 36D1017493

Facility Name: WINDSOR HOUSE AT CHAMPION

Facility Address:
200 E GLENDOLA AVENUE
WARREN, OH
ZIP 44481
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Facility Phone Number: 330 847-6266

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1477563120

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 36D1017493
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WINDSOR HOUSE AT CHAMPION
Street 200 E GLENDOLA AVENUE
City WARREN
State OH
ZIP 44481
Phone 330 847-6266
CertificateType 4
CertificateEffectiveDate 9/26/2023
CertificateExpirationDate 9/25/2025
FacilityType Waiver

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