10D2244436 CLIA NUMBER - RIVERSIDE CARE OF FLORIDA LLC

Laboratory Demographics

CLIA Number: 10D2244436

Facility Name: RIVERSIDE CARE OF FLORIDA LLC

Facility Address:
210 S PARSON AVE SUITE 9
BRANDON, FL
ZIP 33511
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Facility Phone Number: 813 707-0400

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1508312216

Taxonomy: 253Z00000X - In Home Supportive Care
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

CLIA Record

Field Name Field Value
CLIA Number 10D2244436
LAB Type Home Health Agency
Facility Name RIVERSIDE CARE OF FLORIDA LLC
Street 210 S PARSON AVE SUITE 9
City BRANDON
State FL
ZIP 33511
Phone 813 707-0400
CertificateType 4
CertificateEffectiveDate 12/1/2023
CertificateExpirationDate 11/30/2025
FacilityType Waiver

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