10D2043817 CLIA NUMBER - TOTAL CARE HOME HEALTH AGENCY

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Laboratory Demographics

CLIA Number: 10D2043817

Facility Name: TOTAL CARE HOME HEALTH AGENCY

Facility Address:
14331 SW 120 ST UNIT 109
MIAMI, FL
ZIP 33186
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Facility Phone Number: 786 518-3387

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1457610982

Taxonomy: 3747A0650X - Technician
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

CLIA Record

Field Name	Field Value
CLIA Number	10D2043817
LAB Type	Home Health Agency
Facility Name	TOTAL CARE HOME HEALTH AGENCY
Street	14331 SW 120 ST UNIT 109
City	MIAMI
State	FL
ZIP	33186
Phone	786 518-3387
CertificateType	4
CertificateEffectiveDate	7/11/2022
CertificateExpirationDate	7/10/2024
FacilityType	Waiver

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