10D2176151 CLIA NUMBER - EPICCARE HOME HEALTH, LLC

Laboratory Demographics

CLIA Number: 10D2176151

Facility Name: EPICCARE HOME HEALTH, LLC

Facility Address:
3900 WOODLAKE BLVD SUITE 200-10
GREENACRES, FL
ZIP 33463
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Facility Phone Number: 561 838-7055

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1730648734

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	10D2176151
LAB Type	Home Health Agency
Facility Name	EPICCARE HOME HEALTH, LLC
Street	3900 WOODLAKE BLVD SUITE 200-10
City	GREENACRES
State	FL
ZIP	33463
Phone	561 838-7055
CertificateType	4
CertificateEffectiveDate	12/10/2023
CertificateExpirationDate	12/9/2025
FacilityType	Waiver

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