29D2066647 CLIA NUMBER - G & G HOME HEALTH CARE SVCS LLC

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Laboratory Demographics

CLIA Number: 29D2066647

Facility Name: G & G HOME HEALTH CARE SVCS LLC

Facility Address:
2940 S JONES BLVD STE A
LAS VEGAS, NV
ZIP 89146
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Facility Phone Number: 702 932-7052

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1518296243

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	29D2066647
LAB Type	Home Health Agency
Facility Name	G & G HOME HEALTH CARE SVCS LLC
Street	2940 S JONES BLVD STE A
City	LAS VEGAS
State	NV
ZIP	89146
Phone	702 932-7052
CertificateType	4
CertificateEffectiveDate	10/1/2023
CertificateExpirationDate	9/30/2025
FacilityType	Waiver

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