10D0912957 CLIA NUMBER - GOLDENCARE HOME HEALTH AGENCY INC

Laboratory Demographics

CLIA Number: 10D0912957

Facility Name: GOLDENCARE HOME HEALTH AGENCY INC

Facility Address:
760 PONCE DE LEON BLVD STE 107
CORAL GABLES, FL
ZIP 33134
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Facility Phone Number: 305 553-2553

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1588865927

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	10D0912957
LAB Type	Home Health Agency
Facility Name	GOLDENCARE HOME HEALTH AGENCY INC
Street	760 PONCE DE LEON BLVD STE 107
City	CORAL GABLES
State	FL
ZIP	33134
Phone	305 553-2553
CertificateType	4
CertificateEffectiveDate	3/18/2024
CertificateExpirationDate	3/17/2026
FacilityType	Waiver

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