05D2269421 CLIA NUMBER - ZIVA HOME HEALTH CARE, INC

Laboratory Demographics

CLIA Number: 05D2269421

Facility Name: ZIVA HOME HEALTH CARE, INC

Facility Address:
17929 VENTURA BLVD STE 7
ENCINO, CA
ZIP 91316
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Facility Phone Number: 818 839-8039

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1972113751

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	05D2269421
LAB Type	Home Health Agency
Facility Name	ZIVA HOME HEALTH CARE, INC
Street	17929 VENTURA BLVD STE 7
City	ENCINO
State	CA
ZIP	91316
Phone	818 839-8039
CertificateType	4
CertificateEffectiveDate	9/26/2022
CertificateExpirationDate	9/25/2024
FacilityType	Waiver

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