10D2280141 CLIA NUMBER - ABSOLUTE HOME HEALTH III LLC

Laboratory Demographics

CLIA Number: 10D2280141

Facility Name: ABSOLUTE HOME HEALTH III LLC

Facility Address:
1813 SHORE DRIVE STE 3
PASADENA, FL
ZIP 33707
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Facility Phone Number: 813 230-0073

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1225644164

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	10D2280141
LAB Type	Home Health Agency
Facility Name	ABSOLUTE HOME HEALTH III LLC
Street	1813 SHORE DRIVE STE 3
City	PASADENA
State	FL
ZIP	33707
Phone	813 230-0073
CertificateType	4
CertificateEffectiveDate	4/13/2023
CertificateExpirationDate	4/12/2025
FacilityType	Waiver

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