45D2255141 CLIA NUMBER - CONNECTIVE HOME HEALTH

Laboratory Demographics

CLIA Number: 45D2255141

Facility Name: CONNECTIVE HOME HEALTH

Facility Address:
500 N CENTRAL EXPRESSWAY SUITE 400
PLANO, TX
ZIP 75074
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Facility Phone Number: 214 440-1394

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1164099909

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	45D2255141
LAB Type	Home Health Agency
Facility Name	CONNECTIVE HOME HEALTH
Street	500 N CENTRAL EXPRESSWAY SUITE 400
City	PLANO
State	TX
ZIP	75074
Phone	214 440-1394
CertificateType	4
CertificateEffectiveDate	3/10/2024
CertificateExpirationDate	3/9/2026
FacilityType	Waiver

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