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05D2188731 CLIA NUMBER - HEART OF HOPE HOME HEALTHCARE INC

Laboratory Demographics

CLIA Number: 05D2188731

Facility Name: HEART OF HOPE HOME HEALTHCARE INC

Facility Address:
10999 RIVERSIDE DR, STE 103
STUDIO CITY, CA
ZIP 91602
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Facility Phone Number: 818 650-0700

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1528615465

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 05D2188731
LAB Type Home Health Agency
Facility Name HEART OF HOPE HOME HEALTHCARE INC
Street 10999 RIVERSIDE DR, STE 103
City STUDIO CITY
State CA
ZIP 91602
Phone 818 650-0700
CertificateType 4
CertificateEffectiveDate 7/21/2022
CertificateExpirationDate 7/20/2024
FacilityType Waiver

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