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45D2201953 CLIA NUMBER - FIRST CHOICE CHILDREN'S HOMECARE, LP DBA THRIVE SKILLED PEDIATRIC CARE

Laboratory Demographics

CLIA Number: 45D2201953

Facility Name: FIRST CHOICE CHILDREN'S HOMECARE, LP DBA THRIVE SKILLED PEDIATRIC CARE

Facility Address:
1111 W MOCKINGBIRD LN SUITE 750
DALLAS, TX
ZIP 75247
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Facility Phone Number: 469 619-0509

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1336746759

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 45D2201953
LAB Type Home Health Agency
Facility Name FIRST CHOICE CHILDREN'S HOMECARE, LP DBA THRIVE SKILLED PEDIATRIC CARE
Street 1111 W MOCKINGBIRD LN SUITE 750
City DALLAS
State TX
ZIP 75247
Phone 469 619-0509
CertificateType 4
CertificateEffectiveDate 11/24/2022
CertificateExpirationDate 11/23/2024
FacilityType Waiver

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