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22D1099441 CLIA NUMBER - ANDVENTURE INC DBA AVEANNA HEALTHCARE

Laboratory Demographics

CLIA Number: 22D1099441

Facility Name: ANDVENTURE INC DBA AVEANNA HEALTHCARE

Facility Address:
354 BIRNIE AVENUE 4TH FLOOR
SPRINGFIELD, MA
ZIP 01107
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Facility Phone Number: 413 731-3050

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1184863276

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 22D1099441
LAB Type Home Health Agency
Facility Name ANDVENTURE INC DBA AVEANNA HEALTHCARE
Street 354 BIRNIE AVENUE 4TH FLOOR
City SPRINGFIELD
State MA
ZIP 01107
Phone 413 731-3050
CertificateType 4
CertificateEffectiveDate 4/22/2023
CertificateExpirationDate 4/21/2025
FacilityType Waiver

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