23D2280310 CLIA NUMBER - ADVANCED PROFESSIONAL HOME HEALTH CARE SERVICES

Laboratory Demographics

CLIA Number: 23D2280310

Facility Name: ADVANCED PROFESSIONAL HOME HEALTH CARE SERVICES

Facility Address:
2075 W BIG BEAVER ROAD SUITE 602B
TROY, MI
ZIP 48084
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Facility Phone Number: 248 480-4419

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1841962099

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 23D2280310
LAB Type Home Health Agency
Facility Name ADVANCED PROFESSIONAL HOME HEALTH CARE SERVICES
Street 2075 W BIG BEAVER ROAD SUITE 602B
City TROY
State MI
ZIP 48084
Phone 248 480-4419
CertificateType 4
CertificateEffectiveDate 4/18/2023
CertificateExpirationDate 4/17/2025
FacilityType Waiver

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