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30D0086201 CLIA NUMBER - HAVENWOOD HERITAGE HEIGHTS

Laboratory Demographics

CLIA Number: 30D0086201

Facility Name: HAVENWOOD HERITAGE HEIGHTS

Facility Address:
33 CHRISTIAN AVE
CONCORD, NH
ZIP 03301
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Facility Phone Number: 603 224-5363

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1184605941

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 30D0086201
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HAVENWOOD HERITAGE HEIGHTS
Street 33 CHRISTIAN AVE
City CONCORD
State NH
ZIP 03301
Phone 603 224-5363
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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