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Census-For the entire report period. Patient Days by Level of Care and Primary Source of Payment Public Aid Recipient Private Pay Total SNF SNF/PED ICF ICF/DD SC DD 16 OR LESS C. FOR OHF USE LL1 STATE OF ILLINOIS DEPARTMENT OF PUBLIC AID FINANCIAL AND STATISTICAL REPORT FOR LONG-TERM CARE FACILITIES FISCAL YEAR 2000 I. Declaration of preparer other than provider is based on all information of which preparer has any knowledge. E.g. day care meals on wheels outpatient therapy None Beds at End...

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How to fill out idph facility id number

01

Step 1: Gather all the necessary information and documentation required to fill out the IDPH Facility ID Number form.

02

Step 2: Access the IDPH website or visit the nearest IDPH office to obtain the required form.

03

Step 3: Read the instructions carefully and understand the information required to complete the form.

04

Step 4: Fill out the form using a pen or type the information directly into the digital form, as indicated.

05

Step 5: Provide accurate and up-to-date information in each section of the form as required.

06

Step 6: Double-check all the provided information for any errors or omissions.

07

Step 7: Submit the completed form to the designated IDPH office or follow the instructions on the website for online submission.

08

Step 8: Wait for the IDPH to process your application and issue the facility ID number. This may take some time, so be patient and follow up if necessary.

Who needs idph facility id number?

01

Any facility or organization that operates within the jurisdiction of IDPH may need an IDPH Facility ID Number.

02

This can include hospitals, medical clinics, nursing homes, assisted living facilities, rehabilitation centers, and other healthcare providers.

03

IDPH Facility ID Number is often required for licensing, accreditation, Medicaid/Medicare enrollment, and compliance with state regulations.

04

Additionally, certain government agencies, insurance companies, and other healthcare organizations may require the facility ID number for various purposes.

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What is idph facility id number?

The IDPH facility ID number is a unique identifier assigned to healthcare facilities by the Illinois Department of Public Health.

Who is required to file idph facility id number?

All healthcare facilities operating in Illinois are required to file for an IDPH facility ID number.

How to fill out idph facility id number?

To fill out an IDPH facility ID number, healthcare facilities need to complete an application form provided by the Illinois Department of Public Health.

What is the purpose of idph facility id number?

The purpose of the IDPH facility ID number is to track and monitor healthcare facilities in Illinois to ensure they are meeting state regulations and standards.

What information must be reported on idph facility id number?

The information reported on an IDPH facility ID number includes details about the facility's location, ownership, type of services provided, and more.

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