15D2076195 CLIA NUMBER - HOMETOWN HOME HEALTHCARE, INC

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Laboratory Demographics

CLIA Number: 15D2076195

Facility Name: HOMETOWN HOME HEALTHCARE, INC

Facility Address:
302 E N B ST
GAS CITY, IN
ZIP 46933
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Facility Phone Number: 765 289-7740

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1427506229

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	15D2076195
LAB Type	Home Health Agency
Facility Name	HOMETOWN HOME HEALTHCARE, INC
Street	302 E N B ST
City	GAS CITY
State	IN
ZIP	46933
Phone	765 289-7740
CertificateType	4
CertificateEffectiveDate	4/14/2024
CertificateExpirationDate	4/13/2026
FacilityType	Waiver

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