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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:

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Obtain the correct facility name and ID form from the relevant organization or department.

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Fill in the facility name in the designated field on the form.

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Fill in the facility ID in the designated field on the form.

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Anyone who is involved in management, administration, or monitoring of facilities may need to provide the facility name and ID. This includes facility managers, maintenance personnel, government agencies, and regulatory bodies.

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What is facility name amp id?

Facility name amp id is a unique identifier assigned to a specific facility or location.

Who is required to file facility name amp id?

All entities and individuals who own or operate a facility are required to file facility name amp id.

How to fill out facility name amp id?

Facility name amp id can be filled out online through the designated government portal or by submitting a paper form to the appropriate regulatory agency.

What is the purpose of facility name amp id?

The purpose of facility name amp id is to provide a standardized way of identifying and tracking facilities for regulatory and reporting purposes.

What information must be reported on facility name amp id?

Facility name, location, ownership information, and any relevant regulatory compliance details must be reported on facility name amp id.

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