10D1065277 CLIA NUMBER - GRANNYS HOME HEALTH CARE INC

Laboratory Demographics

CLIA Number: 10D1065277

Facility Name: GRANNYS HOME HEALTH CARE INC

Facility Address:
8323 NW 12 STREET STE 100
MIAMI, FL
ZIP 33126
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Facility Phone Number: 305 887-1123

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1851513998

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 10D1065277
LAB Type Home Health Agency
Facility Name GRANNYS HOME HEALTH CARE INC
Street 8323 NW 12 STREET STE 100
City MIAMI
State FL
ZIP 33126
Phone 305 887-1123
CertificateType 4
CertificateEffectiveDate 2/27/2023
CertificateExpirationDate 2/26/2025
FacilityType Waiver

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