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36D2244556 CLIA NUMBER - ULTIMATE HOME HEALTHCARE LLC

Laboratory Demographics

CLIA Number: 36D2244556

Facility Name: ULTIMATE HOME HEALTHCARE LLC

Facility Address:
1150 MORSE RD, SUITE 335
COLUMBUS, OH
ZIP 43229
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Facility Phone Number: 614 517-6551

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1750053534

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 36D2244556
LAB Type Home Health Agency
Facility Name ULTIMATE HOME HEALTHCARE LLC
Street 1150 MORSE RD, SUITE 335
City COLUMBUS
State OH
ZIP 43229
Phone 614 517-6551
CertificateType 4
CertificateEffectiveDate 12/2/2023
CertificateExpirationDate 12/1/2025
FacilityType Waiver

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