33D0653630 CLIA NUMBER - WARTBURG HOME CARE

Laboratory Demographics

CLIA Number: 33D0653630

Facility Name: WARTBURG HOME CARE

Facility Address:
1 WARTBURG PLACE - HAUSELT BUILDING
MOUNT VERNON, NY
ZIP 10552
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Facility Phone Number: 914 278-9131

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1518019827

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 33D0653630
LAB Type Home Health Agency
Facility Name WARTBURG HOME CARE
Street 1 WARTBURG PLACE - HAUSELT BUILDING
City MOUNT VERNON
State NY
ZIP 10552
Phone 914 278-9131
CertificateType 4
CertificateEffectiveDate 7/9/1993
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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