04D0868794 CLIA NUMBER - HOME HEALTH PROFESSIONALS, INC

Laboratory Demographics

CLIA Number: 04D0868794

Facility Name: HOME HEALTH PROFESSIONALS, INC

Facility Address:
509 HUTSON
BLYTHEVILLE, AR
ZIP 72315
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Facility Phone Number: 870 762-1825

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1972641660

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	04D0868794
LAB Type	Home Health Agency
Facility Name	HOME HEALTH PROFESSIONALS, INC
Street	509 HUTSON
City	BLYTHEVILLE
State	AR
ZIP	72315
Phone	870 762-1825
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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