22D2113319 CLIA NUMBER - EXCELSURE HOMES HEALTH CARE SOLUTIONS LLC

Laboratory Demographics

CLIA Number: 22D2113319

Facility Name: EXCELSURE HOMES HEALTH CARE SOLUTIONS LLC

Facility Address:
155 MAPLE ST STE 409
SPRINGFIELD, MA
ZIP 01105
Get Directions

Facility Phone Number: 413 205-6270

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1659730257

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 22D2113319
LAB Type Home Health Agency
Facility Name EXCELSURE HOMES HEALTH CARE SOLUTIONS LLC
Street 155 MAPLE ST STE 409
City SPRINGFIELD
State MA
ZIP 01105
Phone 413 205-6270
CertificateType 4
CertificateEffectiveDate 5/19/2022
CertificateExpirationDate 5/18/2024
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