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●Institution information
Institution name Toshima City Ikebukuro Sports Center
Location 〒170-0012
Toshima City Kamiikebukuro 2-5-1
Phone number 03-5974-7262
Fax number 03-5974-7253
Screening organization number  
Mail address to act as contact point ikespo@p-wosh.co.jp
home page http://www.ikespo.jp
Operating entity P-WOSH Co., Ltd.
Name of the establishment Representative Director and President Masaaki Urushibara
Administrator name of screening department Takumi Urasawa
Third Party Evaluation  
Certification date of acquisition  
Agreement consolidation agency name  
Affiliation name  
Designated manager (P-WOSH·ASVIL Co., Ltd. Joint Venture Company
Designated period April 1, 2015 ~ March 31, 2020 (5 years)
●Collaborator information
Presence or absence of collaborators (active support) 
Name of contractor / commission part 
●Staff information
 In-houseCollaborator
Full timePart time
Total numberNumber of completed training in the leftTotal numberNumber of completed training in the leftTotal numberNumber of completed training in the left
A doctor   1   
Among the above,
the Japan Medical Association accredited
health sports doctor
      
Public health nurse dietician      
Nurse
(one with practical experience
of constant health guidance)
      
Those with
expertise
and technology
THP acquirer      
Health
exercise teacher
2      
Office worker 4      
●Implementation system of health guidance
  Health guidance supervisorThose conducting business related to initial interview, planning and evaluationThose who provide ongoing support for more than three months in active support
Individual supportGroup supporTelephone supporE-mail support
A doctor       
Among the above,
the Japan Medical Association
accredited
health sports doctor
      
Public health nurse      
Managed dietician      
Nurse
(one with practical experience
of constant health guidance
      
Those with
expertise
and technology
THP acquirer      
Health
exercise
teacher
    2 2 2 2
●Facilities and equipment information
Protection of privacy to usersYes
Regulations concerning personal informationYes
Passive smoking countermeasureNon smoking inside the facility
Use of standard electronic formats for preservation and submission of guidance results 
●Management information
Implementation date and execution timeSpecific time 
Whole year 9:00~20:00(Reservation required)
Implementation areaAround Tokyo
Implementation service□Motivational support □Active support
Embodiment□Home type □Facility type
Continuous type of support and content□Individual support □Group support
□E-mail support □Telephone support
Standard intervention period (active support) 
Billing system 
Standard unit cost per unit 
Included in unit price 
Presence or absence of additional services not included in unit price 
Contents of active supportExercise instruction
First aid system in emergencyYes
Correspondence system to respond to complaintsYes
Regular training for health guidance providersYes
Structure and structure of safety management in the health guidance using the InternetNothing
●Other
Number of specified health guidance cases in the previous year at the time of submissionMotivation 0 people per year   0 people per day
Positive 0 people per year   0 people per day
Number of specific health guidance that can be implementedMotivation people per year   people per day
Positive people per year   people per day
Participation rate of previous year at the time of submission (participant / guideer)・
Shedding rate (dropout / participation))
MotivationParticipation rate %   Participation rate % 
PositiveParticipation rate %   Participation rate % 
Conduct specific medical examinationsNothing