45D0914847 CLIA NUMBER - GOODWIN HOME HEALTHCARE SERVICES, INC

Laboratory Demographics

CLIA Number: 45D0914847

Facility Name: GOODWIN HOME HEALTHCARE SERVICES, INC

Facility Address:
1201 S SHERMAN ST 201 SUITE B
RICHARDSON, TX
ZIP 75080
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Facility Phone Number: 214 342-1119

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1083695571

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 45D0914847
LAB Type Home Health Agency
Facility Name GOODWIN HOME HEALTHCARE SERVICES, INC
Street 1201 S SHERMAN ST 201 SUITE B
City RICHARDSON
State TX
ZIP 75080
Phone 214 342-1119
CertificateType 4
CertificateEffectiveDate 5/13/2022
CertificateExpirationDate 5/12/2024
FacilityType Waiver

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