14D0981399 CLIA NUMBER - FAMILY HOME HEALTH SERVICES INC & CENTERED HOSPICE

Laboratory Demographics

CLIA Number: 14D0981399

Facility Name: FAMILY HOME HEALTH SERVICES INC & CENTERED HOSPICE

Facility Address:
2171 EXECUTIVE DR, STE 450
ADDISON, IL
ZIP 60101
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Facility Phone Number: 630 317-3300

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1164474565

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 14D0981399
LAB Type Home Health Agency
Facility Name FAMILY HOME HEALTH SERVICES INC & CENTERED HOSPICE
Street 2171 EXECUTIVE DR, STE 450
City ADDISON
State IL
ZIP 60101
Phone 630 317-3300
CertificateType 4
CertificateEffectiveDate 12/27/2022
CertificateExpirationDate 12/26/2024
FacilityType Waiver

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