Healther Providers Data Logo

10D1074684 CLIA NUMBER - ENHABIT HOME HEALTH

Laboratory Demographics

CLIA Number: 10D1074684

Facility Name: ENHABIT HOME HEALTH

Facility Address:
4730 E STATE ROAD 64 - SUITE 201
BRADENTON, FL
ZIP 34208
Get Directions

Facility Phone Number: 941 527-0254

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1477506780

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 10D1074684
LAB Type Home Health Agency
Facility Name ENHABIT HOME HEALTH
Street 4730 E STATE ROAD 64 - SUITE 201
City BRADENTON
State FL
ZIP 34208
Phone 941 527-0254
CertificateType 4
CertificateEffectiveDate 10/3/2023
CertificateExpirationDate 10/2/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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