07D1103531 CLIA NUMBER - NIGHTINGALE HOME HEALTHCARE OF CONNECTICUT, INC

Laboratory Demographics

CLIA Number: 07D1103531

Facility Name: NIGHTINGALE HOME HEALTHCARE OF CONNECTICUT, INC

Facility Address:
9 WEST BRAOD ST, STE 610
STAMFORD, CT
ZIP 06902
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Facility Phone Number: 203 658-8080

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1770713141

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	07D1103531
LAB Type	Home Health Agency
Facility Name	NIGHTINGALE HOME HEALTHCARE OF CONNECTICUT, INC
Street	9 WEST BRAOD ST, STE 610
City	STAMFORD
State	CT
ZIP	06902
Phone	203 658-8080
CertificateType	4
CertificateEffectiveDate	8/12/2023
CertificateExpirationDate	8/11/2025
FacilityType	Waiver

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