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PRINTED: 03/19/2018 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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How to fill out nc dhsr licensed facilities

01
Visit the NC DHSR website.
02
Access the licensing application forms.
03
Fill out the required information in each section of the form.
04
Provide any supporting documents or additional information as requested.
05
Review the completed application form to ensure accuracy.
06
Submit the application form along with any required fees to the NC DHSR office.
07
Await review and approval of the application.
08
Once approved, follow any further instructions provided by the NC DHSR for facility licensing.

Who needs nc dhsr licensed facilities?

01
Any individual or organization in North Carolina that plans to operate certain types of facilities related to health and human services may require NC DHSR licensed facilities. This includes but is not limited to nursing homes, adult care homes, mental health facilities, hospitals, and home care agencies. The specific requirements for licensure vary depending on the type of facility and the services provided.
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NC DHSR licensed facilities are facilities that hold a license from the North Carolina Division of Health Service Regulation.
Any facility in North Carolina that is required to hold a license from the Division of Health Service Regulation.
You can fill out the necessary forms and information online on the Division of Health Service Regulation's website or submit them through mail.
The purpose of nc dhsr licensed facilities is to ensure that healthcare facilities in North Carolina meet certain standards of care and safety.
Information such as facility name, address, type of services provided, number of beds, staffing information, and compliance with regulations.
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