CHARTER BEHAVIORAL HEALTH SYS OF NW IN - HOBART, IN

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CHARTER BEHAVIORAL HEALTH SYS OF NW IN
101 W 61ST ST, S R 51
HOBART, IN 46342


PSYCHIATRIC HOSPITALS

Services provided by CHARTER BEHAVIORAL HEALTH SYS OF NW IN:

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 60

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 60

Accreditation effective date (The effective date of the current period of accreditation by the joint commission on accreditation of health care organizations (jcaho) or the american osteopathic association (aoa)): Jan 1996

Accreditation expiration date (The expiration date of the current period of accreditation by the joint committee on accreditation of health care organizations (jcaho) or the american osteopathic association (aoa)): Jan 1999

Accreditation indicator (Indicates the organization that is responsible for the accreditation of the provider): JCAHO

Clia - Hosp lab id #1 (Number assigned to a hospital laboratory licensed in accordance with the clinical laboratory improvement act (clia)): 15D0647297

Current survey ever accredited (Indicates if this provider was an accredited hospital anytime during the current survey): Yes

Current survey ever non-Accred (Indicates if this provider was a non-Accredited hospital anytine during the current survey): No

Current survey ever swingbed (Indicates if this provider was a swingbed hospital anytime during the current survey): No

Date of validation survey (Date a validation survey is performed by the state agency in a jcah or aoa accredited hospital): Jan 1999

Medical school affiliation (The type of affiliation that a hospital may have with a medical school): NO AFFILIATION

Other personnel (The number of full-time equivalent other salaried personnel employed by a facility): 57.50

Participating code (y,n) (This code indicates whether a provider is participating in the Medicaid or Medicare program): Yes

Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID

Regional override #2 (staffing) (This field is set to "y" when the regional office has to ok a pending record in the special fields screen. this field only applies to categories in the odie data entry system): Yes

Registered nurses (The number of full-time equivalent registered professional nurses employed by a provider): 13.50

Related provider number (This field is used when a provider's facility contains more than one distinct provider,such as a hospital with distinct part long term care. the number in this field will be the provider nmbr of the highest level of care): 154038

Resident program approved by ada (Indicates if the resident program at a hospital is approved by the american dental association): No

Resident program approved by ama (Indicates if the resident program at a hospital is approved by the american medical association): No

Resident program approved by aoa (Indicates if the resident program at a hospital is approved by the american osteopathic association): No

Resident program approved by other (Indicates if the resident program at a hospital is approved by other professional organizations): No

Srv: alcohol and/or drug (Indicates how alcohol and/or drug services are provided by a hospital): PROVIDED BY STAFF

Srv: dietary (Indicates how dietary services are provided): PROVIDED UNDER ARRANGEMENT

Srv: laboratory (clinical) (Indicates how clinical laboratory services are provided in a hospital): PROVIDED UNDER ARRANGEMENT

Srv: outpatient (Indicates how outpatient services are provided by a hospital): PROVIDED BY STAFF

Srv: pharmacy (Indicates how pharmacy services are provided): PROVIDED UNDER ARRANGEMENT

Srv: psychiatric (Indicates how psychiatric services are provided by a hospital): PROVIDED BY STAFF

Srv: radiology (diagnostic) (Indicates how diagnostic radiology services are provided by a hospital): PROVIDED UNDER ARRANGEMENT

Swing bed indicator (Indicates if a hospital provides swing bed services - Beds can be used for either hospital or long term care services): No

Type of facility (Indicates the category which represents the type of facility): PSYCHIATRIC

Compliance: status (Indicates if a provider or supplier is in compliance with program requirements): IN COMPLIANCE

Current survey date (The date of the health or life safety code survey, whichever is later. the "official" survey date for the provider): Jan 1999

Eligibility code (Indicates if a facility is eligible to participate in the Medicare and/or Medicaid programs): ELIGIBLE TO PARTICIPATE

Participation date (The date a facility is first approved to provide Medicare and/or Medicaid services): May 1990