45D2196668 CLIA NUMBER - ALPHA ONE CARE LLC

Laboratory Demographics

CLIA Number: 45D2196668

Facility Name: ALPHA ONE CARE LLC

Facility Address:
20219 WEEPING PINE WAY
RICHMOND, TX
ZIP 77407
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Facility Phone Number: (773) 225-2519

Facility Type: HOME HEALTH AGENCY

Certificate Type: Waiver

NPI Number: 1386266567

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 45D2196668
LAB Type HOME HEALTH AGENCY
Facility Name ALPHA ONE CARE LLC
Street 20219 WEEPING PINE WAY
City RICHMOND
State TX
ZIP 77407
Phone (773) 225-2519

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This page was last updated on: 5/11/2023