29D1032798 CLIA NUMBER - ENHABIT HOME HEALTH

Laboratory Demographics

CLIA Number: 29D1032798

Facility Name: ENHABIT HOME HEALTH

Facility Address:
6655 S CIMARRON ROAD, SUITE 250
LAS VEGAS, NV
ZIP 89113
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Facility Phone Number: 702 384-1962

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1841680923

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	29D1032798
LAB Type	Home Health Agency
Facility Name	ENHABIT HOME HEALTH
Street	6655 S CIMARRON ROAD, SUITE 250
City	LAS VEGAS
State	NV
ZIP	89113
Phone	702 384-1962
CertificateType	4
CertificateEffectiveDate	10/28/2022
CertificateExpirationDate	10/27/2024
FacilityType	Waiver

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