05D2001794 CLIA NUMBER - EXCEED HOME HEALTH INC

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Laboratory Demographics

CLIA Number: 05D2001794

Facility Name: EXCEED HOME HEALTH INC

Facility Address:
20121 VENTURA BLVD, #317
WOODLAND HILLS, CA
ZIP 91364
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Facility Phone Number: 818 342-4406

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1508049297

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	05D2001794
LAB Type	Home Health Agency
Facility Name	EXCEED HOME HEALTH INC
Street	20121 VENTURA BLVD, #317
City	WOODLAND HILLS
State	CA
ZIP	91364
Phone	818 342-4406
CertificateType	4
CertificateEffectiveDate	12/31/2023
CertificateExpirationDate	12/30/2025
FacilityType	Waiver

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