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05D2160047 CLIA NUMBER - RGAC ENTERPRISES, INC DBA BRIGHTSTAR CARE OF CONEJO VALLEY

Laboratory Demographics

CLIA Number: 05D2160047

Facility Name: RGAC ENTERPRISES, INC DBA BRIGHTSTAR CARE OF CONEJO VALLEY

Facility Address:
307 N WESTLAKE BLVD, #120
WESTLAKE VILLAGE, CA
ZIP 91362
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Facility Phone Number: 805 233-3800

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1710267034

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 05D2160047
LAB Type Home Health Agency
Facility Name RGAC ENTERPRISES, INC DBA BRIGHTSTAR CARE OF CONEJO VALLEY
Street 307 N WESTLAKE BLVD, #120
City WESTLAKE VILLAGE
State CA
ZIP 91362
Phone 805 233-3800
CertificateType 4
CertificateEffectiveDate 1/3/2023
CertificateExpirationDate 1/2/2025
FacilityType Waiver

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