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05D2018661 CLIA NUMBER - HORIZON VALLEY HOME HEALTH CARE INC

Laboratory Demographics

CLIA Number: 05D2018661

Facility Name: HORIZON VALLEY HOME HEALTH CARE INC

Facility Address:
28991 OLD TOWN FRONT ST STE 105
TEMECULA, CA
ZIP 92590
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Facility Phone Number: 951 699-4017

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1821220351

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 05D2018661
LAB Type Home Health Agency
Facility Name HORIZON VALLEY HOME HEALTH CARE INC
Street 28991 OLD TOWN FRONT ST STE 105
City TEMECULA
State CA
ZIP 92590
Phone 951 699-4017
CertificateType 4
CertificateEffectiveDate 1/11/2023
CertificateExpirationDate 1/10/2025
FacilityType Waiver

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