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34D0946722 CLIA NUMBER - EASTERN CAROLINA HOME HEALTH AGENCY LLC DBA CENTERWELL HOME HEALTH

Laboratory Demographics

CLIA Number: 34D0946722

Facility Name: EASTERN CAROLINA HOME HEALTH AGENCY LLC DBA CENTERWELL HOME HEALTH

Facility Address:
1700 W 5TH STREET SUITE 470
WASHINGTON, NC
ZIP 27889
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Facility Phone Number: 252 946-7145

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1750318614

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 34D0946722
LAB Type Home Health Agency
Facility Name EASTERN CAROLINA HOME HEALTH AGENCY LLC DBA CENTERWELL HOME HEALTH
Street 1700 W 5TH STREET SUITE 470
City WASHINGTON
State NC
ZIP 27889
Phone 252 946-7145
CertificateType 4
CertificateEffectiveDate 6/2/2022
CertificateExpirationDate 6/1/2024
FacilityType Waiver

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