10D0717380 CLIA NUMBER - ADVENTHEALTH HOME CARE CENTRAL FLORIDA

Laboratory Demographics

CLIA Number: 10D0717380

Facility Name: ADVENTHEALTH HOME CARE CENTRAL FLORIDA

Facility Address:
602 COURTLAND STREET SUITE 310
ORLANDO, FL
ZIP 32804
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Facility Phone Number: 407 691-8205

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1518419977

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	10D0717380
LAB Type	Home Health Agency
Facility Name	ADVENTHEALTH HOME CARE CENTRAL FLORIDA
Street	602 COURTLAND STREET SUITE 310
City	ORLANDO
State	FL
ZIP	32804
Phone	407 691-8205
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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