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05D2284451 CLIA NUMBER - SOCIAL HOME HEALTH CARE, INC

Laboratory Demographics

CLIA Number: 05D2284451

Facility Name: SOCIAL HOME HEALTH CARE, INC

Facility Address:
13711 VAN NUYS BLVD SUITE 3D
PACOIMA, CA
ZIP 91331
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Facility Phone Number: 818 650-1155

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1295378024

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 05D2284451
LAB Type Home Health Agency
Facility Name SOCIAL HOME HEALTH CARE, INC
Street 13711 VAN NUYS BLVD SUITE 3D
City PACOIMA
State CA
ZIP 91331
Phone 818 650-1155
CertificateType 4
CertificateEffectiveDate 6/22/2023
CertificateExpirationDate 6/21/2025
FacilityType Waiver

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