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05D0999542 CLIA NUMBER - EXCELL HOME CARE INC

Laboratory Demographics

CLIA Number: 05D0999542

Facility Name: EXCELL HOME CARE INC

Facility Address:
14023 PARAMOUNT BLVD.
PARAMOUNT, CA
ZIP 90723
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Facility Phone Number: 562 988-3370

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1588630081

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 05D0999542
LAB Type Home Health Agency
Facility Name EXCELL HOME CARE INC
Street 14023 PARAMOUNT BLVD.
City PARAMOUNT
State CA
ZIP 90723
Phone 562 988-3370
CertificateType 4
CertificateEffectiveDate 10/24/2022
CertificateExpirationDate 10/23/2024
FacilityType Waiver

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