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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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How to fill out facility name amp id

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Start by locating the facility name and id fields on the form.

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Fill in the facility name with the full name of the facility where the services are being provided.

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Healthcare professionals who are completing forms related to patient care at a specific facility.

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What is facility name amp id?

Facility name amp id refers to the unique identification for a specific facility.

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The purpose of facility name amp id is to track and identify individual facilities for regulatory and reporting purposes.

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The facility name amp id must include the name of the facility and its unique identification code.

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