14D1062532 CLIA NUMBER - COMMUNITY HOME HEALTH CARE INC

Laboratory Demographics

CLIA Number: 14D1062532

Facility Name: COMMUNITY HOME HEALTH CARE INC

Facility Address:
109 FAIRFIELD WAY - STE 101
BLOOMINGDALE, IL
ZIP 60108
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Facility Phone Number: 630 545-0183

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1235335126

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	14D1062532
LAB Type	Home Health Agency
Facility Name	COMMUNITY HOME HEALTH CARE INC
Street	109 FAIRFIELD WAY - STE 101
City	BLOOMINGDALE
State	IL
ZIP	60108
Phone	630 545-0183
CertificateType	4
CertificateEffectiveDate	12/18/2022
CertificateExpirationDate	12/17/2024
FacilityType	Waiver

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