36D2131409 CLIA NUMBER - MARIMART HEALTH CARE, LLC

Laboratory Demographics

CLIA Number: 36D2131409

Facility Name: MARIMART HEALTH CARE, LLC

Facility Address:
4640 SALEM AVE
TROTWOOD, OH
ZIP 45416
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Facility Phone Number: 614 470-9755

Facility Type: Other - ADULT DAY CARE

Certificate Type: Waiver

NPI Number: 1629390091

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	36D2131409
LAB Type	Other - ADULT DAY CARE
Facility Name	MARIMART HEALTH CARE, LLC
Street	4640 SALEM AVE
City	TROTWOOD
State	OH
ZIP	45416
Phone	614 470-9755
CertificateType	4
CertificateEffectiveDate	5/30/2023
CertificateExpirationDate	5/29/2025
FacilityType	Waiver

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