10D2273001 CLIA NUMBER - HOME CARE FOR THE 21ST CENTURY BOYNTON BEACH

Laboratory Demographics

CLIA Number: 10D2273001

Facility Name: HOME CARE FOR THE 21ST CENTURY BOYNTON BEACH

Facility Address:
2623 S SEACREST BLVD, SUITE 206
BOYNTON BEACH, FL
ZIP 33435
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Facility Phone Number: 561 704-3184

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1659010353

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	10D2273001
LAB Type	Home Health Agency
Facility Name	HOME CARE FOR THE 21ST CENTURY BOYNTON BEACH
Street	2623 S SEACREST BLVD, SUITE 206
City	BOYNTON BEACH
State	FL
ZIP	33435
Phone	561 704-3184
CertificateType	4
CertificateEffectiveDate	12/5/2022
CertificateExpirationDate	12/4/2024
FacilityType	Waiver

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