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49D0901949 CLIA NUMBER - CARESOUTH HHA HOLDINGS OF RICHMOND, LLC DBA ENHABIT HOME HEALTH

Laboratory Demographics

CLIA Number: 49D0901949

Facility Name: CARESOUTH HHA HOLDINGS OF RICHMOND, LLC DBA ENHABIT HOME HEALTH

Facility Address:
12355 SUNRISE VALLEY DRIVE, SUITE 230
RESTON, VA
ZIP 20191
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Facility Phone Number: 703 992-7280

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1639373715

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 49D0901949
LAB Type Home Health Agency
Facility Name CARESOUTH HHA HOLDINGS OF RICHMOND, LLC DBA ENHABIT HOME HEALTH
Street 12355 SUNRISE VALLEY DRIVE, SUITE 230
City RESTON
State VA
ZIP 20191
Phone 703 992-7280
CertificateType 4
CertificateEffectiveDate 6/8/2023
CertificateExpirationDate 6/7/2025
FacilityType Waiver

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