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Independence Health System, Inc.
Skilled Nursing Facility in Perryville, Missouri
NPI 1619963972

Independence Health System, Inc. is a Skilled Nursing Facility based in Perryville, MO. Independence Health System, Inc. practices in Perryville, MO. The NPI Number for Independence Health System, Inc. is 1619963972 and holds a License No. 031348 (Missouri).

The current practice location address for Independence Health System, Inc. is 800 S Kingshighway St, Perryville, MO and can be reached out via phone at 573-547-6546 and via fax at 573-547-2823.

Location: 800 S Kingshighway St, Perryville, MO, 63775-2106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619963972
Provider Name
Independence Health System, Inc.
Credential
Provider Entity Type
Organization
Address
800 S Kingshighway St, Perryville, MO, 63775-2106
Phone Number
573-547-6546
Fax Number
573-547-2823
Provider Enumeration Date
09/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101493203 05 MO
268114808 05 MO
institution
Provider Business Practice Location Address Details
Address
800 S Kingshighway St
City
Perryville
State
Missouri
Zip
63775-2106
Phone Number
573-547-6546
Fax Number
573-547-2823
person
Provider Business Mailing Address Details
Address
800 S Kingshighway St
City
Perryville
State
Missouri
Zip
63775-2106
Phone Number
573-547-6546
Fax Number
573-547-2823
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
031654 (Missouri)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
031348 (Missouri)
Definition
(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.
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