29D1087703 CLIA NUMBER - A GENTLECARE MEDICAL SERVICES

Laboratory Demographics

CLIA Number: 29D1087703

Facility Name: A GENTLECARE MEDICAL SERVICES

Facility Address:
2950 E FLAMINGO RD STE J-A
LAS VEGAS, NV
ZIP 89121
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Facility Phone Number: 702 436-2273

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1083762280

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	29D1087703
LAB Type	Home Health Agency
Facility Name	A GENTLECARE MEDICAL SERVICES
Street	2950 E FLAMINGO RD STE J-A
City	LAS VEGAS
State	NV
ZIP	89121
Phone	702 436-2273
CertificateType	4
CertificateEffectiveDate	8/8/2022
CertificateExpirationDate	8/7/2024
FacilityType	Waiver

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