28D0859607 CLIA NUMBER - GOOD SAMARITAN SOCIETY HOME HEALTH

Laboratory Demographics

CLIA Number: 28D0859607

Facility Name: GOOD SAMARITAN SOCIETY HOME HEALTH

Facility Address:
4075 TIMBERLINE
GRAND ISLAND, NE
ZIP 68803
Get Directions

Facility Phone Number: 308 382-4054

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1851373294

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	28D0859607
LAB Type	Home Health Agency
Facility Name	GOOD SAMARITAN SOCIETY HOME HEALTH
Street	4075 TIMBERLINE
City	GRAND ISLAND
State	NE
ZIP	68803
Phone	308 382-4054
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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