01D0720655 CLIA NUMBER - DBA CENTERWELL HOME HEALTH MID-SOUTH HOME HEALTH, LLC

Laboratory Demographics

CLIA Number: 01D0720655

Facility Name: DBA CENTERWELL HOME HEALTH MID-SOUTH HOME HEALTH, LLC

Facility Address:
2100 RIVERCHASE CENTER SUITE 450
HOOVER, AL
ZIP 35244
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Facility Phone Number: 205 739-7800

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1962459438

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 01D0720655
LAB Type Home Health Agency
Facility Name DBA CENTERWELL HOME HEALTH MID-SOUTH HOME HEALTH, LLC
Street 2100 RIVERCHASE CENTER SUITE 450
City HOOVER
State AL
ZIP 35244
Phone 205 739-7800
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024