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34D2079050 CLIA NUMBER - NORTH CAROLINA IN-HOME PARTNER-V, LLC DBA CAROLINA HOME CARE

Laboratory Demographics

CLIA Number: 34D2079050

Facility Name: NORTH CAROLINA IN-HOME PARTNER-V, LLC DBA CAROLINA HOME CARE

Facility Address:
1001 NAVAHO DRIVE, STE 150
RALEIGH, NC
ZIP 27609
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Facility Phone Number: 828 245-3575

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1467871210

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 34D2079050
LAB Type Home Health Agency
Facility Name NORTH CAROLINA IN-HOME PARTNER-V, LLC DBA CAROLINA HOME CARE
Street 1001 NAVAHO DRIVE, STE 150
City RALEIGH
State NC
ZIP 27609
Phone 828 245-3575
CertificateType 4
CertificateEffectiveDate 6/10/2022
CertificateExpirationDate 6/9/2024
FacilityType Waiver

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