36D2193961 CLIA NUMBER - PLEASANT LAKE VILLA

Laboratory Demographics

CLIA Number: 36D2193961

Facility Name: PLEASANT LAKE VILLA

Facility Address:
7260 RIDGE
PARMA, OH
ZIP 44129
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Facility Phone Number: 440 842-2273

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1255432589

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 36D2193961
LAB Type Assisted Living Facility
Facility Name PLEASANT LAKE VILLA
Street 7260 RIDGE
City PARMA
State OH
ZIP 44129
Phone 440 842-2273
CertificateType 4
CertificateEffectiveDate 9/25/2022
CertificateExpirationDate 9/24/2024
FacilityType Waiver

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