03D2118575 CLIA NUMBER - ASSISTED HOME HOSPICE INC

Laboratory Demographics

CLIA Number: 03D2118575

Facility Name: ASSISTED HOME HOSPICE INC

Facility Address:
1420 E MISSOURI AVE #103
PHOENIX, AZ
ZIP 85014
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Facility Phone Number: (480) 860-8021

Facility Type: HOSPICE

Certificate Type: Waiver

NPI Number: 1508313255

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	03D2118575
LAB Type	HOSPICE
Facility Name	ASSISTED HOME HOSPICE INC
Street	1420 E MISSOURI AVE #103
City	PHOENIX
State	AZ
ZIP	85014
Phone	(480) 860-8021

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This page was last updated on: 5/11/2023