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FOR BHF USELL1 2021STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2021) I.DPH License ID Number: Facility
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Obtain the Sheridan Village Nursing Rehabilitation and Health Benefit form from the appropriate source.
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Individuals who are seeking nursing rehabilitation services and health benefits provided by Sheridan Village.
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Sheridan Village NRSG RHB stands for Sheridan Village Nursing Rehabilitation and Health Benefits.
The administrator or authorized personnel of Sheridan Village Nursing Rehabilitation is required to file the NRSG RHB form.
The NRSG RHB form can be filled out electronically or manually, providing all necessary information requested.
The purpose of Sheridan Village NRSG RHB is to report on the nursing, rehabilitation, and health benefits provided to residents or patients at the facility.
Information such as number of residents, types of services provided, health benefits programs, and any relevant statistics must be reported on the NRSG RHB form.
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