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FOR BHF USELL1 2019STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2019) I.DPH License ID Number:
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How to fill out facility name amp id

01
Locate the designated sections on the form for facility name and id.
02
Fill out the facility name accurately as it is officially registered.
03
Enter the facility id, which may be a unique identifier or number assigned to the facility.
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Double-check both fields for accuracy before submitting the form.

Who needs facility name amp id?

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Individuals or organizations registering a new facility
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Government agencies overseeing facilities
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Any party requiring specific identification of facilities for reference or documentation
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Facility name amp id is the unique identifier given to a specific facility.
All facilities are required to file facility name amp id.
Facility name amp id can be filled out online on the designated portal.
The purpose of facility name amp id is to accurately identify and track different facilities.
The information reported on facility name amp id includes the facility's name, location, and contact information.
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