36D2196528 CLIA NUMBER - DYNAMIS HOME HEALTH CARE

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Laboratory Demographics

CLIA Number: 36D2196528

Facility Name: DYNAMIS HOME HEALTH CARE

Facility Address:
924 EASTWIND DRIVE, STE 11
WESTERVILLE, OH
ZIP 43081
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Facility Phone Number: 614 384-0140

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1194334565

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	36D2196528
LAB Type	Home Health Agency
Facility Name	DYNAMIS HOME HEALTH CARE
Street	924 EASTWIND DRIVE, STE 11
City	WESTERVILLE
State	OH
ZIP	43081
Phone	614 384-0140
CertificateType	4
CertificateEffectiveDate	10/19/2022
CertificateExpirationDate	10/18/2024
FacilityType	Waiver

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