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05D2049459 CLIA NUMBER - ACA HOME HEALTH CARE, INC.

Laboratory Demographics

CLIA Number: 05D2049459

Facility Name: ACA HOME HEALTH CARE, INC.

Facility Address:
223 E. THOUSAND OAKS BLVD., SUITE 407
THOUSAND OAKS, CA
ZIP 91360
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Facility Phone Number: 805 497-2773

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1467684993

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 05D2049459
LAB Type Home Health Agency
Facility Name ACA HOME HEALTH CARE, INC.
Street 223 E. THOUSAND OAKS BLVD., SUITE 407
City THOUSAND OAKS
State CA
ZIP 91360
Phone 805 497-2773
CertificateType 4
CertificateEffectiveDate 11/6/2022
CertificateExpirationDate 11/5/2024
FacilityType Waiver

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