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10D1009995 CLIA NUMBER - SENIOR HOME CARE INC DBA CENTERWELL HOME HEALTH

Laboratory Demographics

CLIA Number: 10D1009995

Facility Name: SENIOR HOME CARE INC DBA CENTERWELL HOME HEALTH

Facility Address:
1301 N PALAFOX STREET SUITE 100
PENSACOLA, FL
ZIP 32501
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Facility Phone Number: 850 434-8662

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1437100450

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 10D1009995
LAB Type Home Health Agency
Facility Name SENIOR HOME CARE INC DBA CENTERWELL HOME HEALTH
Street 1301 N PALAFOX STREET SUITE 100
City PENSACOLA
State FL
ZIP 32501
Phone 850 434-8662
CertificateType 4
CertificateEffectiveDate 3/4/2023
CertificateExpirationDate 3/3/2025
FacilityType Waiver

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