14D2048971 CLIA NUMBER - VALENTINE HOME HEALTH CARE INC

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Laboratory Demographics

CLIA Number: 14D2048971

Facility Name: VALENTINE HOME HEALTH CARE INC

Facility Address:
6900 MAIN ST, #166
DOWNERS GROVE, IL
ZIP 60516
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Facility Phone Number: 630 440-1316

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1871853531

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	14D2048971
LAB Type	Home Health Agency
Facility Name	VALENTINE HOME HEALTH CARE INC
Street	6900 MAIN ST, #166
City	DOWNERS GROVE
State	IL
ZIP	60516
Phone	630 440-1316
CertificateType	4
CertificateEffectiveDate	10/26/2022
CertificateExpirationDate	10/25/2024
FacilityType	Waiver

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