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10D1053674 CLIA NUMBER - COMMUNITY CARE PROVIDERS INC

Laboratory Demographics

CLIA Number: 10D1053674

Facility Name: COMMUNITY CARE PROVIDERS INC

Facility Address:
10031 PINES BLVD STE 105
PEMBROKE PINES, FL
ZIP 33024
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Facility Phone Number: 954 431-4245

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1982786976

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 10D1053674
LAB Type Home Health Agency
Facility Name COMMUNITY CARE PROVIDERS INC
Street 10031 PINES BLVD STE 105
City PEMBROKE PINES
State FL
ZIP 33024
Phone 954 431-4245
CertificateType 4
CertificateEffectiveDate 5/2/2024
CertificateExpirationDate 5/1/2026
FacilityType Waiver

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