44D0703604 CLIA NUMBER - GERICARE LLC

Laboratory Demographics

CLIA Number: 44D0703604

Facility Name: GERICARE LLC

Facility Address:
123 PICKWICK ST
SAVANNAH, TN
ZIP 38372
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Facility Phone Number: 731 925-6626

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1245221795

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	44D0703604
LAB Type	Home Health Agency
Facility Name	GERICARE LLC
Street	123 PICKWICK ST
City	SAVANNAH
State	TN
ZIP	38372
Phone	731 925-6626
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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