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39D1054962 CLIA NUMBER - ELITE HOME HEALTH AGENCY

Laboratory Demographics

CLIA Number: 39D1054962

Facility Name: ELITE HOME HEALTH AGENCY

Facility Address:
5500 TABOR AVE SUITE 301
PHILADELPHIA, PA
ZIP 19120
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Facility Phone Number: 215 245-2131

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1821164294

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 39D1054962
LAB Type Home Health Agency
Facility Name ELITE HOME HEALTH AGENCY
Street 5500 TABOR AVE SUITE 301
City PHILADELPHIA
State PA
ZIP 19120
Phone 215 245-2131
CertificateType 4
CertificateEffectiveDate 6/6/2022
CertificateExpirationDate 6/5/2024
FacilityType Waiver

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