10D2272096 CLIA NUMBER - TOTAL CARE HOME HEALTH AGENCY

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Laboratory Demographics

CLIA Number: 10D2272096

Facility Name: TOTAL CARE HOME HEALTH AGENCY

Facility Address:
6400 MANATEE AVE
BRADENTON, FL
ZIP 34209
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Facility Phone Number: 813 888-8822

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1538656459

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	10D2272096
LAB Type	Home Health Agency
Facility Name	TOTAL CARE HOME HEALTH AGENCY
Street	6400 MANATEE AVE
City	BRADENTON
State	FL
ZIP	34209
Phone	813 888-8822
CertificateType	4
CertificateEffectiveDate	11/15/2022
CertificateExpirationDate	11/14/2024
FacilityType	Waiver

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