10D1025321 CLIA NUMBER - TEHC LLC

Laboratory Demographics

CLIA Number: 10D1025321

Facility Name: TEHC LLC

Facility Address:
7899 BAYMEADOWS WAY SUITE 100
JACKSONVILLE, FL
ZIP 32256
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Facility Phone Number: 904 722-1112

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1770595647

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	10D1025321
LAB Type	Home Health Agency
Facility Name	TEHC LLC
Street	7899 BAYMEADOWS WAY SUITE 100
City	JACKSONVILLE
State	FL
ZIP	32256
Phone	904 722-1112
CertificateType	4
CertificateEffectiveDate	5/5/2024
CertificateExpirationDate	5/4/2026
FacilityType	Waiver

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