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36D2055392 CLIA NUMBER - MERCY HOME HEALTH SERVICES, LLC

Laboratory Demographics

CLIA Number: 36D2055392

Facility Name: MERCY HOME HEALTH SERVICES, LLC

Facility Address:
6430 EAST MAIN STREET SUITE 202
REYNOLDSBURG, OH
ZIP 43068
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Facility Phone Number: 614 762-6213

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1669737128

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 36D2055392
LAB Type Home Health Agency
Facility Name MERCY HOME HEALTH SERVICES, LLC
Street 6430 EAST MAIN STREET SUITE 202
City REYNOLDSBURG
State OH
ZIP 43068
Phone 614 762-6213
CertificateType 4
CertificateEffectiveDate 3/12/2023
CertificateExpirationDate 3/11/2025
FacilityType Waiver

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