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14D1072557 CLIA NUMBER - SPRING MEADOWS HOME HEALTH CARE L L C

Laboratory Demographics

CLIA Number: 14D1072557

Facility Name: SPRING MEADOWS HOME HEALTH CARE L L C

Facility Address:
113 FAIRFIELD WAY #204
BLOOMINGDALE, IL
ZIP 60108
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Facility Phone Number: 847 641-5132

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1316127731

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 14D1072557
LAB Type Home Health Agency
Facility Name SPRING MEADOWS HOME HEALTH CARE L L C
Street 113 FAIRFIELD WAY #204
City BLOOMINGDALE
State IL
ZIP 60108
Phone 847 641-5132
CertificateType 4
CertificateEffectiveDate 8/20/2023
CertificateExpirationDate 8/19/2025
FacilityType Waiver

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