45D2152954 CLIA NUMBER - IDEAL HEALTHCARE SERVICES INC

Laboratory Demographics

CLIA Number: 45D2152954

Facility Name: IDEAL HEALTHCARE SERVICES INC

Facility Address:
20400 SOUTHWEST FWY SUITE 105
RICHMOND, TX
ZIP 77469
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Facility Phone Number: 346 291-3343

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1588159024

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	45D2152954
LAB Type	Home Health Agency
Facility Name	IDEAL HEALTHCARE SERVICES INC
Street	20400 SOUTHWEST FWY SUITE 105
City	RICHMOND
State	TX
ZIP	77469
Phone	346 291-3343
CertificateType	4
CertificateEffectiveDate	8/21/2022
CertificateExpirationDate	8/20/2024
FacilityType	Waiver

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