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52D0397122 CLIA NUMBER - RICE LAKE REHABILITATION AND CARE LLC

Laboratory Demographics

CLIA Number: 52D0397122

Facility Name: RICE LAKE REHABILITATION AND CARE LLC

Facility Address:
1016 LAKESHORE DR
RICE LAKE, WI
ZIP 54868
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Facility Phone Number: 715 234-9101

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1518026566

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 52D0397122
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RICE LAKE REHABILITATION AND CARE LLC
Street 1016 LAKESHORE DR
City RICE LAKE
State WI
ZIP 54868
Phone 715 234-9101
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