51D0236985 CLIA NUMBER - GRANT COUNTY NURSING HOME

Laboratory Demographics

CLIA Number: 51D0236985

Facility Name: GRANT COUNTY NURSING HOME

Facility Address:
127 EARLY AVENUE
PETERSBURG, WV
ZIP 26847
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Facility Phone Number: 304 257-4233

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1740270982

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	51D0236985
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	GRANT COUNTY NURSING HOME
Street	127 EARLY AVENUE
City	PETERSBURG
State	WV
ZIP	26847
Phone	304 257-4233
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