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45D2015759 CLIA NUMBER - CORDIAL CARE HOME HEATLH SERVICES, INC

Laboratory Demographics

CLIA Number: 45D2015759

Facility Name: CORDIAL CARE HOME HEATLH SERVICES, INC

Facility Address:
10935 ESTATE LN SUITE 182
DALLAS, TX
ZIP 75238
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Facility Phone Number: 972 603-6676

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1285868448

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 45D2015759
LAB Type Home Health Agency
Facility Name CORDIAL CARE HOME HEATLH SERVICES, INC
Street 10935 ESTATE LN SUITE 182
City DALLAS
State TX
ZIP 75238
Phone 972 603-6676
CertificateType 4
CertificateEffectiveDate 11/3/2022
CertificateExpirationDate 11/2/2024
FacilityType Waiver

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