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10D2217336 CLIA NUMBER - SIMPLY HOME HEALTH CARE LLC

Laboratory Demographics

CLIA Number: 10D2217336

Facility Name: SIMPLY HOME HEALTH CARE LLC

Facility Address:
2311 10TH AVE N - STE 10
LAKE WORTH, FL
ZIP 33461
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Facility Phone Number: 561 839-9243

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1043809486

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 10D2217336
LAB Type Home Health Agency
Facility Name SIMPLY HOME HEALTH CARE LLC
Street 2311 10TH AVE N - STE 10
City LAKE WORTH
State FL
ZIP 33461
Phone 561 839-9243
CertificateType 4
CertificateEffectiveDate 3/19/2023
CertificateExpirationDate 3/18/2025
FacilityType Waiver

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