45D2137054 CLIA NUMBER - LEGEND OAKS HEALTHCARE AND REHABILITATION FORT WORTH

Laboratory Demographics

CLIA Number: 45D2137054

Facility Name: LEGEND OAKS HEALTHCARE AND REHABILITATION FORT WORTH

Facility Address:
4240 GOLDEN TRIANGLE BLVD
FORT WORTH, TX
ZIP 76244
Get Directions

Facility Phone Number: 817 380-6400

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1669929642

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	45D2137054
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	LEGEND OAKS HEALTHCARE AND REHABILITATION FORT WORTH
Street	4240 GOLDEN TRIANGLE BLVD
City	FORT WORTH
State	TX
ZIP	76244
Phone	817 380-6400
CertificateType	4
CertificateEffectiveDate	9/19/2023
CertificateExpirationDate	9/18/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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