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Census-For the entire report period. Patient Days by Level of Care and Primary Source of Payment Medicaid Recipient Private Pay Total SNF 13 792 11 349 10 509 35 650 SNF/PED ICF ICF/DD SC DD 16 OR LESS C. E.g. day care meals on wheels outpatient therapy None Beds at End of Bed Days During Skilled SNF Skilled Pediatric SNF/PED Intermediate ICF Intermediate/DD Sheltered Care SC ICF/DD 16 or Less TOTALS 43 800 B. Declaration of preparer other than provider is based on all information of which...

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How to fill out idph license id number

01

Start by obtaining the IDPH license application form.

02

Fill in your personal information such as name, address, and contact details.

03

Provide any required supporting documents, such as copies of your education certificates or professional credentials.

04

Ensure that you have met all the necessary qualifications and requirements for the specific license you are applying for.

05

Double-check the accuracy of all the information provided in the application form.

06

Include the required fee payment along with your application.

07

Submit the completed application form and supporting documents to the designated IDPH office or online portal.

08

Wait for the IDPH to review your application and issue your license ID number.

09

Once you receive your license ID number, make sure to keep it safe and use it as required for any professional activities or transactions.

Who needs idph license id number?

01

Healthcare professionals, such as doctors, nurses, pharmacists, and therapists, who wish to practice or provide services in Illinois, generally need an IDPH license ID number.

02

Individuals working in healthcare facilities, including hospitals, clinics, and long-term care facilities, may also require an IDPH license ID number.

03

Certain healthcare organizations or businesses may need to obtain an IDPH license ID number for compliance or regulatory purposes.

04

It is important to consult the IDPH website or contact their office directly to determine specific professions or situations that necessitate an IDPH license ID number.

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What is idph license id number?

The idph license id number is a unique identification number assigned by the Illinois Department of Public Health to healthcare facilities and providers.

Who is required to file idph license id number?

All healthcare facilities and providers in the state of Illinois are required to file for an idph license id number.

How to fill out idph license id number?

To fill out an idph license id number, healthcare facilities and providers can visit the Illinois Department of Public Health website and follow the instructions for online application.

What is the purpose of idph license id number?

The purpose of the idph license id number is to monitor and regulate healthcare facilities and providers in the state of Illinois to ensure they meet certain standards of care.

What information must be reported on idph license id number?

The information reported on an idph license id number includes the name and address of the healthcare facility or provider, as well as contact information and license type.

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