02D2109732 CLIA NUMBER - WELLSPRING HOME HEALTH CENTER, LLC

Laboratory Demographics

CLIA Number: 02D2109732

Facility Name: WELLSPRING HOME HEALTH CENTER, LLC

Facility Address:
201 E SWANSON AVENUE, SUITE 7
WASILLA, AK
ZIP 99654
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Facility Phone Number: 907 357-3655

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1023493269

Taxonomy: 253Z00000X - In Home Supportive Care
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

CLIA Record

Field Name	Field Value
CLIA Number	02D2109732
LAB Type	Home Health Agency
Facility Name	WELLSPRING HOME HEALTH CENTER, LLC
Street	201 E SWANSON AVENUE, SUITE 7
City	WASILLA
State	AK
ZIP	99654
Phone	907 357-3655
CertificateType	4
CertificateEffectiveDate	3/1/2024
CertificateExpirationDate	2/28/2026
FacilityType	Waiver

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