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39D2098198 CLIA NUMBER - EH HOME HEALTH OF THE MID ATLANTIC, LLC D/BA /ENHABIT HOME HEALTH

Laboratory Demographics

CLIA Number: 39D2098198

Facility Name: EH HOME HEALTH OF THE MID ATLANTIC, LLC D/BA /ENHABIT HOME HEALTH

Facility Address:
1100 BERKSHIRE BLVD, SUITE 210
WYOMISSING, PA
ZIP 19610
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Facility Phone Number: 610 796-6473

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1740674910

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 39D2098198
LAB Type Home Health Agency
Facility Name EH HOME HEALTH OF THE MID ATLANTIC, LLC D/BA /ENHABIT HOME HEALTH
Street 1100 BERKSHIRE BLVD, SUITE 210
City WYOMISSING
State PA
ZIP 19610
Phone 610 796-6473
CertificateType 4
CertificateEffectiveDate 7/2/2023
CertificateExpirationDate 7/1/2025
FacilityType Waiver

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