Healther Providers Data Logo

10D0909635 CLIA NUMBER - ANGEL HOME CARE SERVICES INC

Laboratory Demographics

CLIA Number: 10D0909635

Facility Name: ANGEL HOME CARE SERVICES INC

Facility Address:
12955 SW 42 ST #104
MIAMI, FL
ZIP 33175
Get Directions

Facility Phone Number: 305 220-4544

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1962433896

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 10D0909635
LAB Type Home Health Agency
Facility Name ANGEL HOME CARE SERVICES INC
Street 12955 SW 42 ST #104
City MIAMI
State FL
ZIP 33175
Phone 305 220-4544
CertificateType 4
CertificateEffectiveDate 12/12/2023
CertificateExpirationDate 12/11/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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