10D2190726 CLIA NUMBER - MHC AREA 9, LLC DBA HAVEN HOME HEALTH CARE

Laboratory Demographics

CLIA Number: 10D2190726

Facility Name: MHC AREA 9, LLC DBA HAVEN HOME HEALTH CARE

Facility Address:
6001 BROKE SOUND PARKWAY SUITE 220
BOCA RATON, FL
ZIP 33487
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Facility Phone Number: 561 327-9060

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1932715331

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 10D2190726
LAB Type Home Health Agency
Facility Name MHC AREA 9, LLC DBA HAVEN HOME HEALTH CARE
Street 6001 BROKE SOUND PARKWAY SUITE 220
City BOCA RATON
State FL
ZIP 33487
Phone 561 327-9060
CertificateType 4
CertificateEffectiveDate 8/19/2022
CertificateExpirationDate 8/18/2024
FacilityType Waiver

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