44D1033681 CLIA NUMBER - ASERACARE HOSPICE-TENNESSEE LLC ASERACARE HOSPICE

Laboratory Demographics

CLIA Number: 44D1033681

Facility Name: ASERACARE HOSPICE-TENNESSEE LLC ASERACARE HOSPICE

Facility Address:
1539 ASHLAND CITY ROAD SUITE C
CLARKSVILLE, TN
ZIP 37040
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Facility Phone Number: 931 551-4100

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1730508201

Taxonomy: 363L00000X - Nurse Practitioner
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

CLIA Record

Field Name	Field Value
CLIA Number	44D1033681
LAB Type	Hospice
Facility Name	ASERACARE HOSPICE-TENNESSEE LLC ASERACARE HOSPICE
Street	1539 ASHLAND CITY ROAD SUITE C
City	CLARKSVILLE
State	TN
ZIP	37040
Phone	931 551-4100
CertificateType	4
CertificateEffectiveDate	11/15/2022
CertificateExpirationDate	11/14/2024
FacilityType	Waiver

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