03D0887055 CLIA NUMBER - ANGELS OF CARE

Laboratory Demographics

CLIA Number: 03D0887055

Facility Name: ANGELS OF CARE

Facility Address:
14350 N 87TH ST STE 145
SCOTTSDALE, AZ
ZIP 85260
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Facility Phone Number: 602 331-1100

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1245297746

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	03D0887055
LAB Type	Home Health Agency
Facility Name	ANGELS OF CARE
Street	14350 N 87TH ST STE 145
City	SCOTTSDALE
State	AZ
ZIP	85260
Phone	602 331-1100
CertificateType	4
CertificateEffectiveDate	6/3/2022
CertificateExpirationDate	6/2/2024
FacilityType	Waiver

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