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01D0993300 CLIA NUMBER - ENHABIT HOME HEALTH EH HEALTH HOME HEALTH OF ALABAMA, LLC

Laboratory Demographics

CLIA Number: 01D0993300

Facility Name: ENHABIT HOME HEALTH EH HEALTH HOME HEALTH OF ALABAMA, LLC

Facility Address:
115 JOHNSTON STREET SE, SUITE 301A
DECATUR, AL
ZIP 35601
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Facility Phone Number: 256 355-5746

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1093812067

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 01D0993300
LAB Type Home Health Agency
Facility Name ENHABIT HOME HEALTH EH HEALTH HOME HEALTH OF ALABAMA, LLC
Street 115 JOHNSTON STREET SE, SUITE 301A
City DECATUR
State AL
ZIP 35601
Phone 256 355-5746
CertificateType 4
CertificateEffectiveDate 11/9/2023
CertificateExpirationDate 11/8/2025
FacilityType Waiver

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