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Roberts of Provider Title Administrator Paid Preparer Date 09/15/2008 Print Name and Title JAMIE L. McCORKLE CERTIFIED PUBLIC ACCOUNTANT Firm Name WILCOX McCORKLE COMPANY LTD. Census-For the entire report period. Patient Days by Level of Care and Primary Source of Payment Medicaid Recipient Private Pay Total SNF SNF/PED ICF ICF/DD SC DD 16 OR LESS C. Declaration of preparer other than provider is based on all information of which preparer has any knowledge. A. TYPE OF TRAINING PROGRAM If CNAs...
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How to fill out idph license id number
How to fill out idph license id number
01
To fill out IDPH license ID number, follow these steps:
02
Start by obtaining the application form for IDPH license.
03
On the application form, you will find a section labeled 'License ID Number'.
04
Write your IDPH license ID number in the designated space provided.
05
Make sure you enter the ID number accurately and double-check for any errors.
06
Review the rest of the application form for any other required information.
07
Complete the remaining sections of the application form and provide all necessary details.
08
Once you have filled out the entire form, review it again to ensure all information is accurate and complete.
09
Submit the filled-out application form along with any supporting documents or fees, as required.
10
Wait for the processing of your application and for the issuance of your IDPH license.
11
Keep your IDPH license ID number in a safe place, as it may be required for future references.
Who needs idph license id number?
01
IDPH license ID number is needed by individuals who:
02
- Aspire to work in healthcare professions regulated by the Illinois Department of Public Health (IDPH).
03
- Wish to obtain a professional license or certification from IDPH.
04
- Are already licensed healthcare practitioners and need to renew or maintain their license.
05
- Seek employment in healthcare facilities or organizations that require IDPH licensing.
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- Participate in healthcare-related activities that fall under IDPH regulations and licensing.
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What is idph license id number?
The Illinois Department of Public Health (IDPH) license ID number is a unique identifier assigned to healthcare facilities and providers in Illinois.
Who is required to file idph license id number?
All healthcare facilities and providers in Illinois are required to file for an IDPH license ID number.
How to fill out idph license id number?
The IDPH license ID number can be filled out online through the IDPH website or by submitting a paper application to the IDPH office.
What is the purpose of idph license id number?
The purpose of the IDPH license ID number is to ensure proper licensing and regulation of healthcare facilities and providers in Illinois.
What information must be reported on idph license id number?
The IDPH license ID number requires information such as facility or provider name, address, type of services offered, and contact information.
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