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34D2006143 CLIA NUMBER - JOHNSTON HOME CARE & HOSPICE

Laboratory Demographics

CLIA Number: 34D2006143

Facility Name: JOHNSTON HOME CARE & HOSPICE

Facility Address:
514 NORTH BRIGHTLEAF BLVD
SMITHFIELD, NC
ZIP 27577
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Facility Phone Number: 919 938-7560

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1902845928

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 34D2006143
LAB Type Home Health Agency
Facility Name JOHNSTON HOME CARE & HOSPICE
Street 514 NORTH BRIGHTLEAF BLVD
City SMITHFIELD
State NC
ZIP 27577
Phone 919 938-7560
CertificateType 4
CertificateEffectiveDate 4/13/2024
CertificateExpirationDate 4/12/2026
FacilityType Waiver

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