36D2100653 CLIA NUMBER - HEARTLAND AT PROMEDICA FLOWER HOSPITAL CAMPUS

Laboratory Demographics

CLIA Number: 36D2100653

Facility Name: HEARTLAND AT PROMEDICA FLOWER HOSPITAL CAMPUS

Facility Address:
5360 HARROUN RD
SYLVANIA, OH
ZIP 43560
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Facility Phone Number: 419 252-5688

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1356336028

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name	Field Value
CLIA Number	36D2100653
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	HEARTLAND AT PROMEDICA FLOWER HOSPITAL CAMPUS
Street	5360 HARROUN RD
City	SYLVANIA
State	OH
ZIP	43560
Phone	419 252-5688
CertificateType	4
CertificateEffectiveDate	8/19/2023
CertificateExpirationDate	8/18/2025
FacilityType	Waiver

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