10D2278461 CLIA NUMBER - OPTIMUM SOLUTION HOME HEALTH LLC

Laboratory Demographics

CLIA Number: 10D2278461

Facility Name: OPTIMUM SOLUTION HOME HEALTH LLC

Facility Address:
10570 S US HWY 1 SUITE 300 UNIT 60
PORT SAINT LUCIE, FL
ZIP 34952
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Facility Phone Number: 772 212-1183

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1265159636

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	10D2278461
LAB Type	Home Health Agency
Facility Name	OPTIMUM SOLUTION HOME HEALTH LLC
Street	10570 S US HWY 1 SUITE 300 UNIT 60
City	PORT SAINT LUCIE
State	FL
ZIP	34952
Phone	772 212-1183
CertificateType	4
CertificateEffectiveDate	3/17/2023
CertificateExpirationDate	3/16/2025
FacilityType	Waiver

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