Healther Providers Data Logo

22D1056673 CLIA NUMBER - CENTRUS PREMIER HOME CARE INC D/B/A MAXIM HEALTHCARE SERVICES INC

Laboratory Demographics

CLIA Number: 22D1056673

Facility Name: CENTRUS PREMIER HOME CARE INC D/B/A MAXIM HEALTHCARE SERVICES INC

Facility Address:
225 WATER STREET SUITE C-101
PLYMOUTH, MA
ZIP 02360
Get Directions

Facility Phone Number: 508 747-3521

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1194711226

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 22D1056673
LAB Type Home Health Agency
Facility Name CENTRUS PREMIER HOME CARE INC D/B/A MAXIM HEALTHCARE SERVICES INC
Street 225 WATER STREET SUITE C-101
City PLYMOUTH
State MA
ZIP 02360
Phone 508 747-3521
CertificateType 4
CertificateEffectiveDate 7/21/2022
CertificateExpirationDate 7/20/2024
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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