34D0886606 CLIA NUMBER - ADVENTHEALTH HENDERSONVILLE HOME HEALTH

Laboratory Demographics

CLIA Number: 34D0886606

Facility Name: ADVENTHEALTH HENDERSONVILLE HOME HEALTH

Facility Address:
895 HOWARD GAP ROAD
FLETCHER, NC
ZIP 28732
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Facility Phone Number: 828 687-5261

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1992740468

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	34D0886606
LAB Type	Home Health Agency
Facility Name	ADVENTHEALTH HENDERSONVILLE HOME HEALTH
Street	895 HOWARD GAP ROAD
City	FLETCHER
State	NC
ZIP	28732
Phone	828 687-5261
CertificateType	4
CertificateEffectiveDate	5/24/2022
CertificateExpirationDate	5/23/2024
FacilityType	Waiver

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