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36D2033860 CLIA NUMBER - LEGACY HOME HEALTH CARE SERVICES LLC

Laboratory Demographics

CLIA Number: 36D2033860

Facility Name: LEGACY HOME HEALTH CARE SERVICES LLC

Facility Address:
1110 MORSE ROAD SUITE 216
COLUMBUS, OH
ZIP 43229
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Facility Phone Number: 614 499-6354

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1013292200

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 36D2033860
LAB Type Home Health Agency
Facility Name LEGACY HOME HEALTH CARE SERVICES LLC
Street 1110 MORSE ROAD SUITE 216
City COLUMBUS
State OH
ZIP 43229
Phone 614 499-6354
CertificateType 4
CertificateEffectiveDate 12/12/2023
CertificateExpirationDate 12/11/2025
FacilityType Waiver

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