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10D1093500 CLIA NUMBER - COMPASSIONATE CARING HOME CARE INC

Laboratory Demographics

CLIA Number: 10D1093500

Facility Name: COMPASSIONATE CARING HOME CARE INC

Facility Address:
4141 NW 5TH ST # 218
PLANTATION, FL
ZIP 33317
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Facility Phone Number: 954 588-2121

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1033355672

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 10D1093500
LAB Type Home Health Agency
Facility Name COMPASSIONATE CARING HOME CARE INC
Street 4141 NW 5TH ST # 218
City PLANTATION
State FL
ZIP 33317
Phone 954 588-2121
CertificateType 4
CertificateEffectiveDate 12/19/2022
CertificateExpirationDate 12/18/2024
FacilityType Waiver

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