44D0725077 CLIA NUMBER - ABILISHEALTH MCMINNVILLE LLC DBA ADORATION HOME HEALTH MCMINNVILLE

Laboratory Demographics

CLIA Number: 44D0725077

Facility Name: ABILISHEALTH MCMINNVILLE LLC DBA ADORATION HOME HEALTH MCMINNVILLE

Facility Address:
404 NORTH CHANCERY STREET
MCMINNVILLE, TN
ZIP 37110
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Facility Phone Number: 931 473-9556

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1275013229

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 44D0725077
LAB Type Home Health Agency
Facility Name ABILISHEALTH MCMINNVILLE LLC DBA ADORATION HOME HEALTH MCMINNVILLE
Street 404 NORTH CHANCERY STREET
City MCMINNVILLE
State TN
ZIP 37110
Phone 931 473-9556
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