45D2045371 CLIA NUMBER - MED PLUS HOME HEALTHCARE, INC

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Laboratory Demographics

CLIA Number: 45D2045371

Facility Name: MED PLUS HOME HEALTHCARE, INC

Facility Address:
4701 ALTAMESA BLVD SUITE 2H
FORT WORTH, TX
ZIP 76133
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Facility Phone Number: 972 803-4255

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1487948618

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	45D2045371
LAB Type	Home Health Agency
Facility Name	MED PLUS HOME HEALTHCARE, INC
Street	4701 ALTAMESA BLVD SUITE 2H
City	FORT WORTH
State	TX
ZIP	76133
Phone	972 803-4255
CertificateType	4
CertificateEffectiveDate	8/10/2022
CertificateExpirationDate	8/9/2024
FacilityType	Waiver

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