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10D2205455 CLIA NUMBER - GOLDENCARE HOME HEALTH SERVICES INC

Laboratory Demographics

CLIA Number: 10D2205455

Facility Name: GOLDENCARE HOME HEALTH SERVICES INC

Facility Address:
14331 SW 120 ST, STE 205
MIAMI, FL
ZIP 33186
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Facility Phone Number: 786 558-5203

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1194325639

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 10D2205455
LAB Type Home Health Agency
Facility Name GOLDENCARE HOME HEALTH SERVICES INC
Street 14331 SW 120 ST, STE 205
City MIAMI
State FL
ZIP 33186
Phone 786 558-5203
CertificateType 4
CertificateEffectiveDate 12/15/2022
CertificateExpirationDate 12/14/2024
FacilityType Waiver

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