10D2209031 CLIA NUMBER - HEALTHY HOME HEALTHCARE LLC

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Laboratory Demographics

CLIA Number: 10D2209031

Facility Name: HEALTHY HOME HEALTHCARE LLC

Facility Address:
819 CYPRESS VILLAGE BLVD - #2
SUN CITY CENTER, FL
ZIP 33573
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Facility Phone Number: 813 652-7070

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1659996015

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	10D2209031
LAB Type	Home Health Agency
Facility Name	HEALTHY HOME HEALTHCARE LLC
Street	819 CYPRESS VILLAGE BLVD - #2
City	SUN CITY CENTER
State	FL
ZIP	33573
Phone	813 652-7070
CertificateType	4
CertificateEffectiveDate	1/11/2023
CertificateExpirationDate	1/10/2025
FacilityType	Waiver

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