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03D2268439 CLIA NUMBER - KPG HOME HEALTH, LLC

Laboratory Demographics

CLIA Number: 03D2268439

Facility Name: KPG HOME HEALTH, LLC

Facility Address:
7135 E CAMELBACK RD STE 230-24
SCOTTSDALE, AZ
ZIP 85251
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Facility Phone Number: 303 653-4515

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1326797069

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 03D2268439
LAB Type Home Health Agency
Facility Name KPG HOME HEALTH, LLC
Street 7135 E CAMELBACK RD STE 230-24
City SCOTTSDALE
State AZ
ZIP 85251
Phone 303 653-4515
CertificateType 4
CertificateEffectiveDate 9/12/2022
CertificateExpirationDate 9/11/2024
FacilityType Waiver

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