41D0084563 CLIA NUMBER - ORCHARD VIEW MANOR

Laboratory Demographics

CLIA Number: 41D0084563

Facility Name: ORCHARD VIEW MANOR

Facility Address:
135 TRIPPS LANE
EAST PROVIDENCE, RI
ZIP 02915
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Facility Phone Number: 401 438-2250

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1508864646

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 41D0084563
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ORCHARD VIEW MANOR
Street 135 TRIPPS LANE
City EAST PROVIDENCE
State RI
ZIP 02915
Phone 401 438-2250
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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