14D1079722 CLIA NUMBER - SHUREE HOME HEALTHCARE INC

Laboratory Demographics

CLIA Number: 14D1079722

Facility Name: SHUREE HOME HEALTHCARE INC

Facility Address:
4492 W LAWRENCE AVENUE
CHICAGO, IL
ZIP 60630
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Facility Phone Number: 773 283-4950

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1215180435

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	14D1079722
LAB Type	Home Health Agency
Facility Name	SHUREE HOME HEALTHCARE INC
Street	4492 W LAWRENCE AVENUE
City	CHICAGO
State	IL
ZIP	60630
Phone	773 283-4950
CertificateType	4
CertificateEffectiveDate	2/6/2024
CertificateExpirationDate	2/5/2026
FacilityType	Waiver

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