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13D1030735 CLIA NUMBER - MULTICARE HOME HEALTH SERVICES INC

Laboratory Demographics

CLIA Number: 13D1030735

Facility Name: MULTICARE HOME HEALTH SERVICES INC

Facility Address:
324 S MERIDIAN ROAD STE 10
MERIDIAN, ID
ZIP 83642
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Facility Phone Number: 208 884-5497

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1790809705

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 13D1030735
LAB Type Home Health Agency
Facility Name MULTICARE HOME HEALTH SERVICES INC
Street 324 S MERIDIAN ROAD STE 10
City MERIDIAN
State ID
ZIP 83642
Phone 208 884-5497
CertificateType 4
CertificateEffectiveDate 9/14/2022
CertificateExpirationDate 9/13/2024
FacilityType Waiver

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