10D2220462 CLIA NUMBER - PARAMOUNT HOME HEALTH SERVICES LLC

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Laboratory Demographics

CLIA Number: 10D2220462

Facility Name: PARAMOUNT HOME HEALTH SERVICES LLC

Facility Address:
17595 S TAMIAMI TRAIL - STE 108
FORT MYERS, FL
ZIP 33908
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Facility Phone Number: 239 689-8704

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1043813298

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	10D2220462
LAB Type	Home Health Agency
Facility Name	PARAMOUNT HOME HEALTH SERVICES LLC
Street	17595 S TAMIAMI TRAIL - STE 108
City	FORT MYERS
State	FL
ZIP	33908
Phone	239 689-8704
CertificateType	4
CertificateEffectiveDate	4/13/2023
CertificateExpirationDate	4/12/2025
FacilityType	Waiver

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