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45D1079631 CLIA NUMBER - ALL AGES HOME HEALTH CARE, LLC DBA MISSION CARE HOME HEALTH SERVICES

Laboratory Demographics

CLIA Number: 45D1079631

Facility Name: ALL AGES HOME HEALTH CARE, LLC DBA MISSION CARE HOME HEALTH SERVICES

Facility Address:
1201 N WATSON ROAD SUITE 154
ARLINGTON, TX
ZIP 76006
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Facility Phone Number: 214 785-2491

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver
NPI Number: 1053501528

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 45D1079631
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ALL AGES HOME HEALTH CARE, LLC DBA MISSION CARE HOME HEALTH SERVICES
Street 1201 N WATSON ROAD SUITE 154
City ARLINGTON
State TX
ZIP 76006
Phone 214 785-2491
CertificateType 4
CertificateEffectiveDate 2/4/2024
CertificateExpirationDate 2/3/2026
FacilityType Waiver

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