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49D2072854 CLIA NUMBER - SUNSHINE HOME HEALTHCARE

Laboratory Demographics

CLIA Number: 49D2072854

Facility Name: SUNSHINE HOME HEALTHCARE

Facility Address:
5510 CHEROKEE AVENUE - SUITE 150
ALEXANDRIA, VA
ZIP 22312
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Facility Phone Number: 703 658-1616

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1205183043

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 49D2072854
LAB Type Home Health Agency
Facility Name SUNSHINE HOME HEALTHCARE
Street 5510 CHEROKEE AVENUE - SUITE 150
City ALEXANDRIA
State VA
ZIP 22312
Phone 703 658-1616
CertificateType 4
CertificateEffectiveDate 2/6/2024
CertificateExpirationDate 2/5/2026
FacilityType Waiver

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