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10D2176508 CLIA NUMBER - DIMACARE HOME HEALTH AGENCY INC

Laboratory Demographics

CLIA Number: 10D2176508

Facility Name: DIMACARE HOME HEALTH AGENCY INC

Facility Address:
751 WEST MINNEOLA AVE SUITE 1
CLERMONT, FL
ZIP 34711
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Facility Phone Number: 352 708-3400

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1437707353

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 10D2176508
LAB Type Home Health Agency
Facility Name DIMACARE HOME HEALTH AGENCY INC
Street 751 WEST MINNEOLA AVE SUITE 1
City CLERMONT
State FL
ZIP 34711
Phone 352 708-3400
CertificateType 4
CertificateEffectiveDate 12/17/2023
CertificateExpirationDate 12/16/2025
FacilityType Waiver

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