05D0978600 CLIA NUMBER - COMPASSIONATE CARE HOME HEALTH INC

Laboratory Demographics

CLIA Number: 05D0978600

Facility Name: COMPASSIONATE CARE HOME HEALTH INC

Facility Address:
4852 VAN NUYS BLVD
SHERMAN OAKS, CA
ZIP 91403
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Facility Phone Number: 626 791-3300

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1992798847

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	05D0978600
LAB Type	Home Health Agency
Facility Name	COMPASSIONATE CARE HOME HEALTH INC
Street	4852 VAN NUYS BLVD
City	SHERMAN OAKS
State	CA
ZIP	91403
Phone	626 791-3300
CertificateType	4
CertificateEffectiveDate	9/28/2022
CertificateExpirationDate	9/27/2024
FacilityType	Waiver

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