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36D1028237 CLIA NUMBER - PF DEVELOPMENT 15, LLC DBA CENTERWELL HOME HEALTH II

Laboratory Demographics

CLIA Number: 36D1028237

Facility Name: PF DEVELOPMENT 15, LLC DBA CENTERWELL HOME HEALTH II

Facility Address:
31225 BAINBRIDGE ROAD SUITE I
SOLON, OH
ZIP 44139
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Facility Phone Number: 440 232-1800

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1023318565

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 36D1028237
LAB Type Home Health Agency
Facility Name PF DEVELOPMENT 15, LLC DBA CENTERWELL HOME HEALTH II
Street 31225 BAINBRIDGE ROAD SUITE I
City SOLON
State OH
ZIP 44139
Phone 440 232-1800
CertificateType 4
CertificateEffectiveDate 7/21/2022
CertificateExpirationDate 7/20/2024
FacilityType Waiver

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