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14D2271060 CLIA NUMBER - SWEET LOVE HOME CARE AGENCY, INC

Laboratory Demographics

CLIA Number: 14D2271060

Facility Name: SWEET LOVE HOME CARE AGENCY, INC

Facility Address:
17070 S PARK AV E- STE K
SOUTH HOLLAND, IL
ZIP 60473
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Facility Phone Number: 708 913-4003

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1316524218

Taxonomy: 253Z00000X - In Home Supportive Care
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

CLIA Record

Field Name Field Value
CLIA Number 14D2271060
LAB Type Home Health Agency
Facility Name SWEET LOVE HOME CARE AGENCY, INC
Street 17070 S PARK AV E- STE K
City SOUTH HOLLAND
State IL
ZIP 60473
Phone 708 913-4003
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