39D2243494 CLIA NUMBER - HEART OF GOLD HOME HEALTH INC

Laboratory Demographics

CLIA Number: 39D2243494

Facility Name: HEART OF GOLD HOME HEALTH INC

Facility Address:
528 SEVEN BRIDGE RD, SUITE 133
EAST STROUDSBURG, PA
ZIP 18301
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Facility Phone Number: 570 422-1012

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1801427612

Taxonomy: 253Z00000X - In Home Supportive Care
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

CLIA Record

Field Name	Field Value
CLIA Number	39D2243494
LAB Type	Home Health Agency
Facility Name	HEART OF GOLD HOME HEALTH INC
Street	528 SEVEN BRIDGE RD, SUITE 133
City	EAST STROUDSBURG
State	PA
ZIP	18301
Phone	570 422-1012
CertificateType	4
CertificateEffectiveDate	11/19/2023
CertificateExpirationDate	11/18/2025
FacilityType	Waiver

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