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34D0922037 CLIA NUMBER - GENTIVA CERTIFIED HEALTHCARE CORP DBA CENTERWELL HOME HEALTH

Laboratory Demographics

CLIA Number: 34D0922037

Facility Name: GENTIVA CERTIFIED HEALTHCARE CORP DBA CENTERWELL HOME HEALTH

Facility Address:
1985 TATE BOULEVARD SE, SUITE 304
HICKORY, NC
ZIP 28602
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Facility Phone Number: 828 322-6131

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1316974272

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 34D0922037
LAB Type Home Health Agency
Facility Name GENTIVA CERTIFIED HEALTHCARE CORP DBA CENTERWELL HOME HEALTH
Street 1985 TATE BOULEVARD SE, SUITE 304
City HICKORY
State NC
ZIP 28602
Phone 828 322-6131
CertificateType 4
CertificateEffectiveDate 11/13/2022
CertificateExpirationDate 11/12/2024
FacilityType Waiver

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