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38D2262439 CLIA NUMBER - KIDSCARE HOME HEALTH OF OREGON, LLC

Laboratory Demographics

CLIA Number: 38D2262439

Facility Name: KIDSCARE HOME HEALTH OF OREGON, LLC

Facility Address:
8625 SW CASCADE AVE, STE 320
BEAVERTON, OR
ZIP 97008
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Facility Phone Number: 877 755-8940

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1205446135

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 38D2262439
LAB Type Home Health Agency
Facility Name KIDSCARE HOME HEALTH OF OREGON, LLC
Street 8625 SW CASCADE AVE, STE 320
City BEAVERTON
State OR
ZIP 97008
Phone 877 755-8940
CertificateType 4
CertificateEffectiveDate 6/14/2022
CertificateExpirationDate 6/13/2024
FacilityType Waiver

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