45D0486456 CLIA NUMBER - WESTSIDE CAMPUS OF CARE, LP

Laboratory Demographics

CLIA Number: 45D0486456

Facility Name: WESTSIDE CAMPUS OF CARE, LP

Facility Address:
1950 S LAS VEGAS TRAIL
WHITE SETTLEMENT, TX
ZIP 76108
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Facility Phone Number: 817 246-2967

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1366490856

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	45D0486456
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	WESTSIDE CAMPUS OF CARE, LP
Street	1950 S LAS VEGAS TRAIL
City	WHITE SETTLEMENT
State	TX
ZIP	76108
Phone	817 246-2967
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