03D1057429 CLIA NUMBER - ANGEL CARE HEALTH SERVICES, INC DBA ANGELS CARE HOME HEALTH

Laboratory Demographics

CLIA Number: 03D1057429

Facility Name: ANGEL CARE HEALTH SERVICES, INC DBA ANGELS CARE HOME HEALTH

Facility Address:
1821 N TREKELL RD, STE 6
CASA GRANDE, AZ
ZIP 85122
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Facility Phone Number: 520 876-0622

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1285771469

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	03D1057429
LAB Type	Home Health Agency
Facility Name	ANGEL CARE HEALTH SERVICES, INC DBA ANGELS CARE HOME HEALTH
Street	1821 N TREKELL RD, STE 6
City	CASA GRANDE
State	AZ
ZIP	85122
Phone	520 876-0622
CertificateType	4
CertificateEffectiveDate	8/11/2022
CertificateExpirationDate	8/10/2024
FacilityType	Waiver

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