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29D2269557 CLIA NUMBER - PROCARE HOME HEALTH LLC

Laboratory Demographics

CLIA Number: 29D2269557

Facility Name: PROCARE HOME HEALTH LLC

Facility Address:
6655 W SAHARA AVE SUITE D110
LAS VEGAS, NV
ZIP 89146
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Facility Phone Number: 702 372-8140

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1942954896

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 29D2269557
LAB Type Home Health Agency
Facility Name PROCARE HOME HEALTH LLC
Street 6655 W SAHARA AVE SUITE D110
City LAS VEGAS
State NV
ZIP 89146
Phone 702 372-8140
CertificateType 4
CertificateEffectiveDate 9/28/2022
CertificateExpirationDate 9/27/2024
FacilityType Waiver

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