14D1048392 CLIA NUMBER - GREAT PARAGON HEALTH CARE INC

Laboratory Demographics

CLIA Number: 14D1048392

Facility Name: GREAT PARAGON HEALTH CARE INC

Facility Address:
2640 W TOUHY AVE, STE 206
CHICAGO, IL
ZIP 60645
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Facility Phone Number: 773 973-1764

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1538170345

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	14D1048392
LAB Type	Home Health Agency
Facility Name	GREAT PARAGON HEALTH CARE INC
Street	2640 W TOUHY AVE, STE 206
City	CHICAGO
State	IL
ZIP	60645
Phone	773 973-1764
CertificateType	4
CertificateEffectiveDate	11/30/2023
CertificateExpirationDate	11/29/2025
FacilityType	Waiver

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