21D0867449 CLIA NUMBER - AMEDISYS HOME HEALTH

Laboratory Demographics

CLIA Number: 21D0867449

Facility Name: AMEDISYS HOME HEALTH

Facility Address:
511 JERMOR LANE SUITE 200
WESTMINSTER, MD
ZIP 21157
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Facility Phone Number: 410 751-9904

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1699701177

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	21D0867449
LAB Type	Home Health Agency
Facility Name	AMEDISYS HOME HEALTH
Street	511 JERMOR LANE SUITE 200
City	WESTMINSTER
State	MD
ZIP	21157
Phone	410 751-9904
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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