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24D2192906 CLIA NUMBER - PRIORITY CARE HOMES LLC

Laboratory Demographics

CLIA Number: 24D2192906

Facility Name: PRIORITY CARE HOMES LLC

Facility Address:
1931 BARKSHIRE DR
EAGAN, MN
ZIP 55122
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Facility Phone Number: 612 481-8517

Facility Type: Assisted Living Facility

Certificate Type: Waiver
NPI Number: 1336792456

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 24D2192906
LAB Type Assisted Living Facility
Facility Name PRIORITY CARE HOMES LLC
Street 1931 BARKSHIRE DR
City EAGAN
State MN
ZIP 55122
Phone 612 481-8517
CertificateType 4
CertificateEffectiveDate 9/16/2022
CertificateExpirationDate 9/15/2024
FacilityType Waiver

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