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14D2017352 CLIA NUMBER - ADVANCED FAMILY HOME HEALTH I INC

Laboratory Demographics

CLIA Number: 14D2017352

Facility Name: ADVANCED FAMILY HOME HEALTH I INC

Facility Address:
3295 N ARLINGTON HTS RD, STE 101
ARLINGTON HEIGHTS, IL
ZIP 60004
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Facility Phone Number: 847 392-3896

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1760797732

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 14D2017352
LAB Type Home Health Agency
Facility Name ADVANCED FAMILY HOME HEALTH I INC
Street 3295 N ARLINGTON HTS RD, STE 101
City ARLINGTON HEIGHTS
State IL
ZIP 60004
Phone 847 392-3896
CertificateType 4
CertificateEffectiveDate 12/9/2022
CertificateExpirationDate 12/8/2024
FacilityType Waiver

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