45D2153234 CLIA NUMBER - LITTLE LANTERN HOSPICE LLC

Laboratory Demographics

CLIA Number: 45D2153234

Facility Name: LITTLE LANTERN HOSPICE LLC

Facility Address:
4541 NORTH JOSEY LN, SUITE #110-B
CARROLLTON, TX
ZIP 75010
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Facility Phone Number: 469 423-0571

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1821654641

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 45D2153234
LAB Type Hospice
Facility Name LITTLE LANTERN HOSPICE LLC
Street 4541 NORTH JOSEY LN, SUITE #110-B
City CARROLLTON
State TX
ZIP 75010
Phone 469 423-0571
CertificateType 4
CertificateEffectiveDate 8/23/2022
CertificateExpirationDate 8/22/2024
FacilityType Waiver

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