45D1104803 CLIA NUMBER - BREEZE HOME HEALTHCARE, LLC

Laboratory Demographics

CLIA Number: 45D1104803

Facility Name: BREEZE HOME HEALTHCARE, LLC

Facility Address:
346 OAKS TRL STE 218
GARLAND, TX
ZIP 75043
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Facility Phone Number: 469 321-1603

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1740422385

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	45D1104803
LAB Type	Home Health Agency
Facility Name	BREEZE HOME HEALTHCARE, LLC
Street	346 OAKS TRL STE 218
City	GARLAND
State	TX
ZIP	75043
Phone	469 321-1603
CertificateType	4
CertificateEffectiveDate	9/10/2023
CertificateExpirationDate	9/9/2025
FacilityType	Waiver

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