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10D2068451 CLIA NUMBER - KASSY HOME HEALTH

Laboratory Demographics

CLIA Number: 10D2068451

Facility Name: KASSY HOME HEALTH

Facility Address:
498 PALM SPRINGS DR STE 350
ALTAMONTE SPRINGS, FL
ZIP 32701
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Facility Phone Number: 407 520-0496

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1144560871

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 10D2068451
LAB Type Home Health Agency
Facility Name KASSY HOME HEALTH
Street 498 PALM SPRINGS DR STE 350
City ALTAMONTE SPRINGS
State FL
ZIP 32701
Phone 407 520-0496
CertificateType 4
CertificateEffectiveDate 11/5/2023
CertificateExpirationDate 11/4/2025
FacilityType Waiver

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