51D0908976 CLIA NUMBER - STONERISE HOME HEALTH SERVICES 2 LLC DBA STONERISE HOME HEALTH

Laboratory Demographics

CLIA Number: 51D0908976

Facility Name: STONERISE HOME HEALTH SERVICES 2 LLC DBA STONERISE HOME HEALTH

Facility Address:
2828 OLD ROUTE 33
HORNER, WV
ZIP 26372
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Facility Phone Number: 304 269-4556

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1174149702

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 51D0908976
LAB Type Home Health Agency
Facility Name STONERISE HOME HEALTH SERVICES 2 LLC DBA STONERISE HOME HEALTH
Street 2828 OLD ROUTE 33
City HORNER
State WV
ZIP 26372
Phone 304 269-4556
CertificateType 4
CertificateEffectiveDate 2/5/2023
CertificateExpirationDate 2/4/2025
FacilityType Waiver

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