49D0228543 CLIA NUMBER - AUTUMN CARE OF SUFFOLK

Laboratory Demographics

CLIA Number: 49D0228543

Facility Name: AUTUMN CARE OF SUFFOLK

Facility Address:
2580 PRUDEN BLVD
SUFFOLK, VA
ZIP 23434
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Facility Phone Number: 757 934-2363

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1366188112

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	49D0228543
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	AUTUMN CARE OF SUFFOLK
Street	2580 PRUDEN BLVD
City	SUFFOLK
State	VA
ZIP	23434
Phone	757 934-2363
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