31D0919513 CLIA NUMBER - AMEDISYS NEW JERSEY, LLC DBA AMEDISYS HOME HEALTH

Laboratory Demographics

CLIA Number: 31D0919513

Facility Name: AMEDISYS NEW JERSEY, LLC DBA AMEDISYS HOME HEALTH

Facility Address:
21 MAIN STREET, SUITE 252
HACKENSACK, NJ
ZIP 07601
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Facility Phone Number: 201 342-6311

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1952402737

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 31D0919513
LAB Type Home Health Agency
Facility Name AMEDISYS NEW JERSEY, LLC DBA AMEDISYS HOME HEALTH
Street 21 MAIN STREET, SUITE 252
City HACKENSACK
State NJ
ZIP 07601
Phone 201 342-6311
CertificateType 4
CertificateEffectiveDate 9/11/2022
CertificateExpirationDate 9/10/2024
FacilityType Waiver

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