23D0969001 CLIA NUMBER - UNICARE HOME HEALTH SYSTEM INC

Laboratory Demographics

CLIA Number: 23D0969001

Facility Name: UNICARE HOME HEALTH SYSTEM INC

Facility Address:
21250 HARPER AVENUE SUITE 1
ST CLAIR SHORES, MI
ZIP 48080
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Facility Phone Number: 313 751-8155

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1689671810

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	23D0969001
LAB Type	Home Health Agency
Facility Name	UNICARE HOME HEALTH SYSTEM INC
Street	21250 HARPER AVENUE SUITE 1
City	ST CLAIR SHORES
State	MI
ZIP	48080
Phone	313 751-8155
CertificateType	4
CertificateEffectiveDate	6/13/2023
CertificateExpirationDate	6/12/2025
FacilityType	Waiver

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