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19D0723033 CLIA NUMBER - TRUCARE HOME HEALTH WEST, LLC

Laboratory Demographics

CLIA Number: 19D0723033

Facility Name: TRUCARE HOME HEALTH WEST, LLC

Facility Address:
2015 E 70TH, SUITE A
SHREVEPORT, LA
ZIP 71105
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Facility Phone Number: 318 706-5157

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1932863917

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 19D0723033
LAB Type Home Health Agency
Facility Name TRUCARE HOME HEALTH WEST, LLC
Street 2015 E 70TH, SUITE A
City SHREVEPORT
State LA
ZIP 71105
Phone 318 706-5157
CertificateType 4
CertificateEffectiveDate 10/10/2023
CertificateExpirationDate 10/9/2025
FacilityType Waiver

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