Healther Providers Data Logo

45D1018707 CLIA NUMBER - AHM ACTION HOME HEALTH LP DBA ENHABIT HOME HEALTH

Laboratory Demographics

CLIA Number: 45D1018707

Facility Name: AHM ACTION HOME HEALTH LP DBA ENHABIT HOME HEALTH

Facility Address:
2302 NW STALLINGS DRIVE
NACOGDOCHES, TX
ZIP 75964
Get Directions

Facility Phone Number: 936 564-3700

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1871510388

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 45D1018707
LAB Type Home Health Agency
Facility Name AHM ACTION HOME HEALTH LP DBA ENHABIT HOME HEALTH
Street 2302 NW STALLINGS DRIVE
City NACOGDOCHES
State TX
ZIP 75964
Phone 936 564-3700
CertificateType 4
CertificateEffectiveDate 10/29/2023
CertificateExpirationDate 10/28/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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