01D0304171 CLIA NUMBER - Kindred At Home

Laboratory Demographics

CLIA Number: 01D0304171

Facility Name: Kindred At Home

Facility Address:
11123 Chantilly Parkway Unit L,
Pike Road, AL
ZIP 36064
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Facility Phone Number: (334) 270-1151

Facility Type: HOME HEALTH AGENCY

Certificate Type: Waiver

NPI Number: 1013946722

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 01D0304171
LAB Type HOME HEALTH AGENCY
Facility Name Kindred At Home
Street 11123 Chantilly Parkway Unit L,
City Pike Road
State AL
ZIP 36064
Phone 3342701151

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This page was last updated on: 5/19/2019