10D2029630 CLIA NUMBER - HOME HEALTH CARE OF FLORIDA

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Laboratory Demographics

CLIA Number: 10D2029630

Facility Name: HOME HEALTH CARE OF FLORIDA

Facility Address:
5270 N US 1 STE 102 B
MELBOURNE, FL
ZIP 32940
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Facility Phone Number: 321 610-3983

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1003194697

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	10D2029630
LAB Type	Home Health Agency
Facility Name	HOME HEALTH CARE OF FLORIDA
Street	5270 N US 1 STE 102 B
City	MELBOURNE
State	FL
ZIP	32940
Phone	321 610-3983
CertificateType	4
CertificateEffectiveDate	9/12/2023
CertificateExpirationDate	9/11/2025
FacilityType	Waiver

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