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21D1009649 CLIA NUMBER - AMERICARE IN-HOME NURSING

Laboratory Demographics

CLIA Number: 21D1009649

Facility Name: AMERICARE IN-HOME NURSING

Facility Address:
109 FT WASHINGTON ROAD STE 213
FORT WASHINGTON, MD
ZIP 20744
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Facility Phone Number: 703 931-3002

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1679515902

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 21D1009649
LAB Type Home Health Agency
Facility Name AMERICARE IN-HOME NURSING
Street 109 FT WASHINGTON ROAD STE 213
City FORT WASHINGTON
State MD
ZIP 20744
Phone 703 931-3002
CertificateType 4
CertificateEffectiveDate 2/21/2023
CertificateExpirationDate 2/20/2025
FacilityType Waiver

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