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45D1062076 CLIA NUMBER - LEONE HOMEHEALTH CARE AGENCY, INC

Laboratory Demographics

CLIA Number: 45D1062076

Facility Name: LEONE HOMEHEALTH CARE AGENCY, INC

Facility Address:
3334 BROADWAY BLVD SUITE 422
MESQUITE, TX
ZIP 75150
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Facility Phone Number: 214 227-2510

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1558468157

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 45D1062076
LAB Type Home Health Agency
Facility Name LEONE HOMEHEALTH CARE AGENCY, INC
Street 3334 BROADWAY BLVD SUITE 422
City MESQUITE
State TX
ZIP 75150
Phone 214 227-2510
CertificateType 4
CertificateEffectiveDate 12/6/2023
CertificateExpirationDate 12/5/2025
FacilityType Waiver

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