14D1019727 CLIA NUMBER - ASSURE HOME HEALTHCARE, INC

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Laboratory Demographics

CLIA Number: 14D1019727

Facility Name: ASSURE HOME HEALTHCARE, INC

Facility Address:
28140 N BRADLEY RD
LIBERTYVILLE, IL
ZIP 60048
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Facility Phone Number: 847 297-4444

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1851353569

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	14D1019727
LAB Type	Home Health Agency
Facility Name	ASSURE HOME HEALTHCARE, INC
Street	28140 N BRADLEY RD
City	LIBERTYVILLE
State	IL
ZIP	60048
Phone	847 297-4444
CertificateType	4
CertificateEffectiveDate	11/26/2023
CertificateExpirationDate	11/25/2025
FacilityType	Waiver

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