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05D2088165 CLIA NUMBER - PARAMOUNT HOME HEALTH CARE & HOSPICE INC

Laboratory Demographics

CLIA Number: 05D2088165

Facility Name: PARAMOUNT HOME HEALTH CARE & HOSPICE INC

Facility Address:
11838 BERNARDO PLAZA CT STE 260 A&B
SAN DIEGO, CA
ZIP 92128
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Facility Phone Number: 858 487-8778

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1598204984

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 05D2088165
LAB Type Home Health Agency
Facility Name PARAMOUNT HOME HEALTH CARE & HOSPICE INC
Street 11838 BERNARDO PLAZA CT STE 260 A&B
City SAN DIEGO
State CA
ZIP 92128
Phone 858 487-8778
CertificateType 4
CertificateEffectiveDate 12/11/2022
CertificateExpirationDate 12/10/2024
FacilityType Waiver

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