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10D1028740 CLIA NUMBER - PALM BREEZES HOME HEALTH SERVICES LLC DBA PALM GARDEN HOME HEALTH

Laboratory Demographics

CLIA Number: 10D1028740

Facility Name: PALM BREEZES HOME HEALTH SERVICES LLC DBA PALM GARDEN HOME HEALTH

Facility Address:
51 S MAIN AVE - SUITE 308
CLEARWATER, FL
ZIP 33765
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Facility Phone Number: 727 797-5173

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1053718817

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 10D1028740
LAB Type Home Health Agency
Facility Name PALM BREEZES HOME HEALTH SERVICES LLC DBA PALM GARDEN HOME HEALTH
Street 51 S MAIN AVE - SUITE 308
City CLEARWATER
State FL
ZIP 33765
Phone 727 797-5173
CertificateType 4
CertificateEffectiveDate 8/2/2022
CertificateExpirationDate 8/1/2024
FacilityType Waiver

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