45D1089638 CLIA NUMBER - HOME HEALTH OF RURAL TEXAS, INC DBA CENTERWELL HOME HEALTH

Laboratory Demographics

CLIA Number: 45D1089638

Facility Name: HOME HEALTH OF RURAL TEXAS, INC DBA CENTERWELL HOME HEALTH

Facility Address:
108 E MORRIS ST
SEYMOUR, TX
ZIP 76380
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Facility Phone Number: 940 888-3744

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1326126210

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	45D1089638
LAB Type	Home Health Agency
Facility Name	HOME HEALTH OF RURAL TEXAS, INC DBA CENTERWELL HOME HEALTH
Street	108 E MORRIS ST
City	SEYMOUR
State	TX
ZIP	76380
Phone	940 888-3744
CertificateType	4
CertificateEffectiveDate	9/23/2022
CertificateExpirationDate	9/22/2024
FacilityType	Waiver

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