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39D2180613 CLIA NUMBER - IDEAL HOMEHEALTH AGENCY LLC

Laboratory Demographics

CLIA Number: 39D2180613

Facility Name: IDEAL HOMEHEALTH AGENCY LLC

Facility Address:
275 CURRY HOLLOW RD G300
PITTSBURGH, PA
ZIP 15236
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Facility Phone Number: 412 653-1060

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1659912293

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 39D2180613
LAB Type Home Health Agency
Facility Name IDEAL HOMEHEALTH AGENCY LLC
Street 275 CURRY HOLLOW RD G300
City PITTSBURGH
State PA
ZIP 15236
Phone 412 653-1060
CertificateType 4
CertificateEffectiveDate 3/18/2024
CertificateExpirationDate 3/17/2026
FacilityType Waiver

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