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49D2058950 CLIA NUMBER - CARDIAC CONNECTIONS HOME HEALTH CARE NURSING SERVICES CORP

Laboratory Demographics

CLIA Number: 49D2058950

Facility Name: CARDIAC CONNECTIONS HOME HEALTH CARE NURSING SERVICES CORP

Facility Address:
10106 KRAUSE ROAD - SUITE 200 C
CHESTERFIELD, VA
ZIP 23838
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Facility Phone Number: 804 454-0854

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1013211358

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 49D2058950
LAB Type Home Health Agency
Facility Name CARDIAC CONNECTIONS HOME HEALTH CARE NURSING SERVICES CORP
Street 10106 KRAUSE ROAD - SUITE 200 C
City CHESTERFIELD
State VA
ZIP 23838
Phone 804 454-0854
CertificateType 4
CertificateEffectiveDate 5/15/2023
CertificateExpirationDate 5/14/2025
FacilityType Waiver

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