21D2267625 CLIA NUMBER - DAVID HOME HEALTH NURSING SERVICES LLC

Laboratory Demographics

CLIA Number: 21D2267625

Facility Name: DAVID HOME HEALTH NURSING SERVICES LLC

Facility Address:
604 AVOCET CT
ESSEX, MD
ZIP 21221
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Facility Phone Number: 443 939-1024

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1427713114

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	21D2267625
LAB Type	Home Health Agency
Facility Name	DAVID HOME HEALTH NURSING SERVICES LLC
Street	604 AVOCET CT
City	ESSEX
State	MD
ZIP	21221
Phone	443 939-1024
CertificateType	4
CertificateEffectiveDate	8/29/2022
CertificateExpirationDate	8/28/2024
FacilityType	Waiver

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