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28D0901004 CLIA NUMBER - FIRST CARE HOME HEALTH OF EASTERN NE INC

Laboratory Demographics

CLIA Number: 28D0901004

Facility Name: FIRST CARE HOME HEALTH OF EASTERN NE INC

Facility Address:
3901 NORMAL BLVD, SUITE 102
LINCOLN, NE
ZIP 68506
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Facility Phone Number: 402 435-1122

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1801898176

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 28D0901004
LAB Type Home Health Agency
Facility Name FIRST CARE HOME HEALTH OF EASTERN NE INC
Street 3901 NORMAL BLVD, SUITE 102
City LINCOLN
State NE
ZIP 68506
Phone 402 435-1122
CertificateType 4
CertificateEffectiveDate 5/15/2023
CertificateExpirationDate 5/14/2025
FacilityType Waiver

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