45D1051570 CLIA NUMBER - DJK HOME HEALTHCARE,LLC DBA CHILDREN'S HOME HEALTHCARE

Laboratory Demographics

CLIA Number: 45D1051570

Facility Name: DJK HOME HEALTHCARE,LLC DBA CHILDREN'S HOME HEALTHCARE

Facility Address:
293 W VAN ALSTYNE PARKWAY
VAN ALSTYNE, TX
ZIP 75495
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Facility Phone Number: 903 482-9020

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1063438364

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	45D1051570
LAB Type	Home Health Agency
Facility Name	DJK HOME HEALTHCARE,LLC DBA CHILDREN'S HOME HEALTHCARE
Street	293 W VAN ALSTYNE PARKWAY
City	VAN ALSTYNE
State	TX
ZIP	75495
Phone	903 482-9020
CertificateType	4
CertificateEffectiveDate	3/6/2024
CertificateExpirationDate	3/5/2026
FacilityType	Waiver

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