18D2236134 CLIA NUMBER - HORIZON HOME HEALTH CARE, LLC

Laboratory Demographics

CLIA Number: 18D2236134

Facility Name: HORIZON HOME HEALTH CARE, LLC

Facility Address:
121 WEST VIRGINIA AVENUE, SUITE 200
PINEVILLE, KY
ZIP 40977
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Facility Phone Number: 606 441-1697

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1063010429

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	18D2236134
LAB Type	Home Health Agency
Facility Name	HORIZON HOME HEALTH CARE, LLC
Street	121 WEST VIRGINIA AVENUE, SUITE 200
City	PINEVILLE
State	KY
ZIP	40977
Phone	606 441-1697
CertificateType	4
CertificateEffectiveDate	9/15/2023
CertificateExpirationDate	9/14/2025
FacilityType	Waiver

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