36D1076966 CLIA NUMBER - GENERATION HOME HEALTH

Laboratory Demographics

CLIA Number: 36D1076966

Facility Name: GENERATION HOME HEALTH

Facility Address:
65 MCMILLEN DR SUITE 503
NEWARK, OH
ZIP 43055
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Facility Phone Number: 740 344-4663

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1407058381

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	36D1076966
LAB Type	Home Health Agency
Facility Name	GENERATION HOME HEALTH
Street	65 MCMILLEN DR SUITE 503
City	NEWARK
State	OH
ZIP	43055
Phone	740 344-4663
CertificateType	4
CertificateEffectiveDate	11/28/2023
CertificateExpirationDate	11/27/2025
FacilityType	Waiver

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