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22D2195004 CLIA NUMBER - GOLDEN HEART HOME HEALTHCARE, LLC

Laboratory Demographics

CLIA Number: 22D2195004

Facility Name: GOLDEN HEART HOME HEALTHCARE, LLC

Facility Address:
181 STATE ST STE 2
SPRINGFIELD, MA
ZIP 01103
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Facility Phone Number: 413 301-8561

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1487105086

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 22D2195004
LAB Type Home Health Agency
Facility Name GOLDEN HEART HOME HEALTHCARE, LLC
Street 181 STATE ST STE 2
City SPRINGFIELD
State MA
ZIP 01103
Phone 413 301-8561
CertificateType 4
CertificateEffectiveDate 10/6/2022
CertificateExpirationDate 10/5/2024
FacilityType Waiver

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