45D1000981 CLIA NUMBER - ADVANTAGE PLUS HOMECARE

Laboratory Demographics

CLIA Number: 45D1000981

Facility Name: ADVANTAGE PLUS HOMECARE

Facility Address:
853 N ZAVALLA ST
JASPER, TX
ZIP 75951
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Facility Phone Number: 409 489-1496

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1194760165

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	45D1000981
LAB Type	Home Health Agency
Facility Name	ADVANTAGE PLUS HOMECARE
Street	853 N ZAVALLA ST
City	JASPER
State	TX
ZIP	75951
Phone	409 489-1496
CertificateType	4
CertificateEffectiveDate	6/27/2022
CertificateExpirationDate	6/26/2024
FacilityType	Waiver

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