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28D0454158 CLIA NUMBER - CHI HEALTH AT HOME - OMAHA

Laboratory Demographics

CLIA Number: 28D0454158

Facility Name: CHI HEALTH AT HOME - OMAHA

Facility Address:
2401 S 73RD STREET, THIRD FLOOR
OMAHA, NE
ZIP 68124
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Facility Phone Number: 402 898-8000

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1932532876

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 28D0454158
LAB Type Home Health Agency
Facility Name CHI HEALTH AT HOME - OMAHA
Street 2401 S 73RD STREET, THIRD FLOOR
City OMAHA
State NE
ZIP 68124
Phone 402 898-8000
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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