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10D2297425 CLIA NUMBER - VIP FAMILY HHC, LLC

Laboratory Demographics

CLIA Number: 10D2297425

Facility Name: VIP FAMILY HHC, LLC

Facility Address:
7362 FUTURES DR SUITE 14 OFFICE 106
ORLANDO, FL
ZIP 32819
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Facility Phone Number: 321 272-3345

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1992571376

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 10D2297425
LAB Type Home Health Agency
Facility Name VIP FAMILY HHC, LLC
Street 7362 FUTURES DR SUITE 14 OFFICE 106
City ORLANDO
State FL
ZIP 32819
Phone 321 272-3345
CertificateType 4
CertificateEffectiveDate 1/17/2024
CertificateExpirationDate 1/16/2026
FacilityType Waiver

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