23D1091048 CLIA NUMBER - PATIENT CARE HOME HEALTH SPECIALIST INC

Laboratory Demographics

CLIA Number: 23D1091048

Facility Name: PATIENT CARE HOME HEALTH SPECIALIST INC

Facility Address:
16000 W NINE MILE ROAD SUITE 412
SOUTHFIELD, MI
ZIP 48075
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Facility Phone Number: 248 552-1333

Facility Type: Health Main. Organization

Certificate Type: Waiver

NPI Number: 1952567737

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	23D1091048
LAB Type	Health Main. Organization
Facility Name	PATIENT CARE HOME HEALTH SPECIALIST INC
Street	16000 W NINE MILE ROAD SUITE 412
City	SOUTHFIELD
State	MI
ZIP	48075
Phone	248 552-1333
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