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11D2286941 CLIA NUMBER - HEARTBOUND HOME CARE LLC

Laboratory Demographics

CLIA Number: 11D2286941

Facility Name: HEARTBOUND HOME CARE LLC

Facility Address:
14371 CLUB CIRCLE
MILTON, GA
ZIP 30004
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Facility Phone Number: 770 500-0897

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1841998739

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 11D2286941
LAB Type Home Health Agency
Facility Name HEARTBOUND HOME CARE LLC
Street 14371 CLUB CIRCLE
City MILTON
State GA
ZIP 30004
Phone 770 500-0897
CertificateType 4
CertificateEffectiveDate 8/7/2023
CertificateExpirationDate 8/6/2025
FacilityType Waiver

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