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45D0999201 CLIA NUMBER - HOME CARE EXTENDED

Laboratory Demographics

CLIA Number: 45D0999201

Facility Name: HOME CARE EXTENDED

Facility Address:
132 NW ELLISON ST
BURLESON, TX
ZIP 76028
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Facility Phone Number: 817 447-9403

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1952542797

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 45D0999201
LAB Type Home Health Agency
Facility Name HOME CARE EXTENDED
Street 132 NW ELLISON ST
City BURLESON
State TX
ZIP 76028
Phone 817 447-9403
CertificateType 4
CertificateEffectiveDate 5/7/2022
CertificateExpirationDate 5/6/2024
FacilityType Waiver

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