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45D1085269 CLIA NUMBER - TRADITIONS CARE TEAM INC DBA TRADITIONS HOME HEALTHCARE

Laboratory Demographics

CLIA Number: 45D1085269

Facility Name: TRADITIONS CARE TEAM INC DBA TRADITIONS HOME HEALTHCARE

Facility Address:
5045 LORIMAR DRIVE, SUITE 230
PLANO, TX
ZIP 75093
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Facility Phone Number: 972 378-7902

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1447653696

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 45D1085269
LAB Type Home Health Agency
Facility Name TRADITIONS CARE TEAM INC DBA TRADITIONS HOME HEALTHCARE
Street 5045 LORIMAR DRIVE, SUITE 230
City PLANO
State TX
ZIP 75093
Phone 972 378-7902
CertificateType 4
CertificateEffectiveDate 1/13/2023
CertificateExpirationDate 1/12/2025
FacilityType Waiver

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