14D1077260 CLIA NUMBER - MEDCORE HOME HEALTH CARE INC

Laboratory Demographics

CLIA Number: 14D1077260

Facility Name: MEDCORE HOME HEALTH CARE INC

Facility Address:
1701 E WOODFIELD RD - STE 205
SCHAUMBURG, IL
ZIP 60173
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Facility Phone Number: 847 768-6080

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1881846392

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	14D1077260
LAB Type	Home Health Agency
Facility Name	MEDCORE HOME HEALTH CARE INC
Street	1701 E WOODFIELD RD - STE 205
City	SCHAUMBURG
State	IL
ZIP	60173
Phone	847 768-6080
CertificateType	4
CertificateEffectiveDate	12/5/2023
CertificateExpirationDate	12/4/2025
FacilityType	Waiver

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