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49D0883619 CLIA NUMBER - ELIZABETH ADAM CRUMP HEALTH AND REHAB

Laboratory Demographics

CLIA Number: 49D0883619

Facility Name: ELIZABETH ADAM CRUMP HEALTH AND REHAB

Facility Address:
3600 MOUNTAIN ROAD
GLEN ALLEN, VA
ZIP 23060
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Facility Phone Number: 804 672-8725

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1396289179

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 49D0883619
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ELIZABETH ADAM CRUMP HEALTH AND REHAB
Street 3600 MOUNTAIN ROAD
City GLEN ALLEN
State VA
ZIP 23060
Phone 804 672-8725
CertificateType 4
CertificateEffectiveDate 3/14/2024
CertificateExpirationDate 3/13/2026
FacilityType Waiver

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