23D1091046 CLIA NUMBER - HOPE HOME HEALTH CARE SERVICES LLC

Laboratory Demographics

CLIA Number: 23D1091046

Facility Name: HOPE HOME HEALTH CARE SERVICES LLC

Facility Address:
27680 FRANKLIN ROAD
SOUTHFIELD, MI
ZIP 48034
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Facility Phone Number: 248 557-0111

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1457503831

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 23D1091046
LAB Type Home Health Agency
Facility Name HOPE HOME HEALTH CARE SERVICES LLC
Street 27680 FRANKLIN ROAD
City SOUTHFIELD
State MI
ZIP 48034
Phone 248 557-0111
CertificateType 4
CertificateEffectiveDate 10/24/2022
CertificateExpirationDate 10/23/2024
FacilityType Waiver

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