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31D2256203 CLIA NUMBER - CAPITAL HOME HEALTH LLC

Laboratory Demographics

CLIA Number: 31D2256203

Facility Name: CAPITAL HOME HEALTH LLC

Facility Address:
304 WEST STATE STREET
TRENTON, NJ
ZIP 08618
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Facility Phone Number: 609 528-6119

Facility Type: Assisted Living Facility

Certificate Type: Waiver
NPI Number: 1306477393

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 31D2256203
LAB Type Assisted Living Facility
Facility Name CAPITAL HOME HEALTH LLC
Street 304 WEST STATE STREET
City TRENTON
State NJ
ZIP 08618
Phone 609 528-6119
CertificateType 4
CertificateEffectiveDate 3/22/2024
CertificateExpirationDate 3/21/2026
FacilityType Waiver

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