11D2256004 CLIA NUMBER - INNOVATIVE NURSING SOLUTIONS AND HOSPICE CARE, LLC

Laboratory Demographics

CLIA Number: 11D2256004

Facility Name: INNOVATIVE NURSING SOLUTIONS AND HOSPICE CARE, LLC

Facility Address:
1818 LAKEFEILD COURT SE SUITE B
CONYERS, GA
ZIP 30013
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Facility Phone Number: 678 806-5949

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1518593946

Taxonomy: 253Z00000X - In Home Supportive Care
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

CLIA Record

Field Name	Field Value
CLIA Number	11D2256004
LAB Type	Hospice
Facility Name	INNOVATIVE NURSING SOLUTIONS AND HOSPICE CARE, LLC
Street	1818 LAKEFEILD COURT SE SUITE B
City	CONYERS
State	GA
ZIP	30013
Phone	678 806-5949
CertificateType	4
CertificateEffectiveDate	3/20/2024
CertificateExpirationDate	3/19/2026
FacilityType	Waiver

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