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10D2258949 CLIA NUMBER - 365CARE HOME HEALTH AGENCY, INC

Laboratory Demographics

CLIA Number: 10D2258949

Facility Name: 365CARE HOME HEALTH AGENCY, INC

Facility Address:
1250 SW 27 AVE STE 403
MIAMI, FL
ZIP 33135
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Facility Phone Number: 786 353-2216

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1407518772

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 10D2258949
LAB Type Home Health Agency
Facility Name 365CARE HOME HEALTH AGENCY, INC
Street 1250 SW 27 AVE STE 403
City MIAMI
State FL
ZIP 33135
Phone 786 353-2216
CertificateType 4
CertificateEffectiveDate 4/29/2024
CertificateExpirationDate 4/28/2026
FacilityType Waiver

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