15D0879201 CLIA NUMBER - VNA HEALTH AT HOME

Laboratory Demographics

CLIA Number: 15D0879201

Facility Name: VNA HEALTH AT HOME

Facility Address:
516 EAST LEWIS & CLARK PARKWAY SUITE 101
CLARKSVILLE, IN
ZIP 47129
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Facility Phone Number: 812 283-9190

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1801149455

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	15D0879201
LAB Type	Home Health Agency
Facility Name	VNA HEALTH AT HOME
Street	516 EAST LEWIS & CLARK PARKWAY SUITE 101
City	CLARKSVILLE
State	IN
ZIP	47129
Phone	812 283-9190
CertificateType	4
CertificateEffectiveDate	11/12/2023
CertificateExpirationDate	11/11/2025
FacilityType	Waiver

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