36D2167413 CLIA NUMBER - CAPRI GARDENS

Laboratory Demographics

CLIA Number: 36D2167413

Facility Name: CAPRI GARDENS

Facility Address:
6975 GRAPHICS WAY
LEWIS CENTER, OH
ZIP 43035
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Facility Phone Number: 740 909-4500

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1972164713

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	36D2167413
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	CAPRI GARDENS
Street	6975 GRAPHICS WAY
City	LEWIS CENTER
State	OH
ZIP	43035
Phone	740 909-4500
CertificateType	4
CertificateEffectiveDate	6/7/2023
CertificateExpirationDate	6/6/2025
FacilityType	Waiver

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