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26D0907470 CLIA NUMBER - JENNIFER'S HOME HEALTH AGENCY

Laboratory Demographics

CLIA Number: 26D0907470

Facility Name: JENNIFER'S HOME HEALTH AGENCY

Facility Address:
225 E SUNSHINE SUITE 1
SPRINGFIELD, MO
ZIP 65807
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Facility Phone Number: 417 865-5008

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1538237961

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 26D0907470
LAB Type Home Health Agency
Facility Name JENNIFER'S HOME HEALTH AGENCY
Street 225 E SUNSHINE SUITE 1
City SPRINGFIELD
State MO
ZIP 65807
Phone 417 865-5008
CertificateType 4
CertificateEffectiveDate 10/16/2023
CertificateExpirationDate 10/15/2025
FacilityType Waiver

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