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29D1080228 CLIA NUMBER - FAMILY CARE HOME HEALTH AGENCY FAMILY CARE HOME HEALTH & HOSPICE, LLC

Laboratory Demographics

CLIA Number: 29D1080228

Facility Name: FAMILY CARE HOME HEALTH AGENCY FAMILY CARE HOME HEALTH & HOSPICE, LLC

Facility Address:
1945 E WARM SPRINGS RD STE 300
LAS VEGAS, NV
ZIP 89119
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Facility Phone Number: 702 650-9366

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1174677082

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 29D1080228
LAB Type Home Health Agency
Facility Name FAMILY CARE HOME HEALTH AGENCY FAMILY CARE HOME HEALTH & HOSPICE, LLC
Street 1945 E WARM SPRINGS RD STE 300
City LAS VEGAS
State NV
ZIP 89119
Phone 702 650-9366
CertificateType 4
CertificateEffectiveDate 2/15/2024
CertificateExpirationDate 2/14/2026
FacilityType Waiver

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