10D2053583 CLIA NUMBER - M-SAC INC DBA TRILOGY HOME HEALTHCARE

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Laboratory Demographics

CLIA Number: 10D2053583

Facility Name: M-SAC INC DBA TRILOGY HOME HEALTHCARE

Facility Address:
5575 S SEMORAN BLVD SUITE 19
ORLANDO, FL
ZIP 32822
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Facility Phone Number: 407 259-2272

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1306183751

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	10D2053583
LAB Type	Home Health Agency
Facility Name	M-SAC INC DBA TRILOGY HOME HEALTHCARE
Street	5575 S SEMORAN BLVD SUITE 19
City	ORLANDO
State	FL
ZIP	32822
Phone	407 259-2272
CertificateType	4
CertificateEffectiveDate	2/14/2024
CertificateExpirationDate	2/13/2026
FacilityType	Waiver

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