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FOR BHF USELL1
2007
STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT FOR
LONGER CARE FACILITIES
(FISCAL YEAR 2007)I.DPH License ID Number:
Facility Name:0016634II.IMPORTANT
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How to fill out i idph facility id

How to fill out i idph facility id
01
To fill out an IDPH Facility ID, follow these steps:
02
Obtain the IDPH Facility ID form from the Illinois Department of Public Health (IDPH) website or through a local health department.
03
Fill in the required information, such as the facility name, address, and contact details.
04
Provide the necessary documentation and supporting materials, which may include licenses, permits, or certifications.
05
Submit the completed form and supporting documents to the appropriate IDPH office or online portal, as instructed.
06
Pay any applicable fees, if required.
07
Wait for the IDPH to process your application. You may be contacted for additional information or inspections.
08
Once approved, you will receive an IDPH Facility ID, which should be prominently displayed at your facility.
Who needs i idph facility id?
01
Any individual or organization in the state of Illinois operating a healthcare facility or providing healthcare services may need an IDPH Facility ID.
02
This includes hospitals, clinics, nursing homes, assisted living facilities, home healthcare agencies, and other healthcare providers.
03
The IDPH Facility ID serves as a unique identifier and helps ensure compliance with state regulations, facilitates inspections and surveys, and promotes public health and safety.
04
It may be required during the initial establishment of a facility, for changes in ownership or location, or for renewal of licenses and permits.
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What is i idph facility id?
The IDPH facility ID is a unique identification number assigned to healthcare facilities by the Illinois Department of Public Health.
Who is required to file i idph facility id?
All healthcare facilities operating in Illinois are required to file for an IDPH facility ID.
How to fill out i idph facility id?
The IDPH facility ID can be filled out online through the IDPH website or by submitting a paper application to the department.
What is the purpose of i idph facility id?
The purpose of the IDPH facility ID is to ensure that healthcare facilities in Illinois are properly identified and monitored.
What information must be reported on i idph facility id?
The IDPH facility ID application requires basic information about the healthcare facility, such as name, address, and type of services provided.
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