26D2034893 CLIA NUMBER - CRESCENT HOME HEALTH AGENCY, LLC

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Laboratory Demographics

CLIA Number: 26D2034893

Facility Name: CRESCENT HOME HEALTH AGENCY, LLC

Facility Address:
219 CLARKSON EXECUTIVE PARK
ELLISVILLE, MO
ZIP 63011
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Facility Phone Number: 314 741-3800

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1013573443

Taxonomy: 253Z00000X - In Home Supportive Care
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

CLIA Record

Field Name	Field Value
CLIA Number	26D2034893
LAB Type	Home Health Agency
Facility Name	CRESCENT HOME HEALTH AGENCY, LLC
Street	219 CLARKSON EXECUTIVE PARK
City	ELLISVILLE
State	MO
ZIP	63011
Phone	314 741-3800
CertificateType	4
CertificateEffectiveDate	1/6/2024
CertificateExpirationDate	1/5/2026
FacilityType	Waiver

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