29D1093331 CLIA NUMBER - FIRST CARE HOME HEALTH, INC

Laboratory Demographics

CLIA Number: 29D1093331

Facility Name: FIRST CARE HOME HEALTH, INC

Facility Address:
2801 S VALLEY VIEW BLVD STE 12
LAS VEGAS, NV
ZIP 89178
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Facility Phone Number: 702 259-1111

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1114156502

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	29D1093331
LAB Type	Home Health Agency
Facility Name	FIRST CARE HOME HEALTH, INC
Street	2801 S VALLEY VIEW BLVD STE 12
City	LAS VEGAS
State	NV
ZIP	89178
Phone	702 259-1111
CertificateType	4
CertificateEffectiveDate	2/14/2023
CertificateExpirationDate	2/13/2025
FacilityType	Waiver

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