15D2091868 CLIA NUMBER - FOSTER HOME CARE SERVICES, INC

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Laboratory Demographics

CLIA Number: 15D2091868

Facility Name: FOSTER HOME CARE SERVICES, INC

Facility Address:
7550 HOHMAN AVE, STE 1000
MUNSTER, IN
ZIP 46321
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Facility Phone Number: 219 276-6881

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1578967527

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	15D2091868
LAB Type	Home Health Agency
Facility Name	FOSTER HOME CARE SERVICES, INC
Street	7550 HOHMAN AVE, STE 1000
City	MUNSTER
State	IN
ZIP	46321
Phone	219 276-6881
CertificateType	4
CertificateEffectiveDate	2/20/2023
CertificateExpirationDate	2/19/2025
FacilityType	Waiver

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