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39D1014196 CLIA NUMBER - HOME HEALTH AGENCY-CENTRAL PENNSYLVANIA, LLC DBA/ OMNI HOME CARE

Laboratory Demographics

CLIA Number: 39D1014196

Facility Name: HOME HEALTH AGENCY-CENTRAL PENNSYLVANIA, LLC DBA/ OMNI HOME CARE

Facility Address:
221 HOSPITAL DRIVE, SUITE 2
TYRONE, PA
ZIP 16686
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Facility Phone Number: 814 684-7366

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1740274505

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 39D1014196
LAB Type Home Health Agency
Facility Name HOME HEALTH AGENCY-CENTRAL PENNSYLVANIA, LLC DBA/ OMNI HOME CARE
Street 221 HOSPITAL DRIVE, SUITE 2
City TYRONE
State PA
ZIP 16686
Phone 814 684-7366
CertificateType 4
CertificateEffectiveDate 6/27/2023
CertificateExpirationDate 6/26/2025
FacilityType Waiver

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