52D0855814 CLIA NUMBER - HORIZON HOME CARE & HOSPICE, INC

Laboratory Demographics

CLIA Number: 52D0855814

Facility Name: HORIZON HOME CARE & HOSPICE, INC

Facility Address:
11400 W LAKE PARK DR
MILWAUKEE, WI
ZIP 53224
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Facility Phone Number: 414 365-8300

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1780687327

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	52D0855814
LAB Type	Home Health Agency
Facility Name	HORIZON HOME CARE & HOSPICE, INC
Street	11400 W LAKE PARK DR
City	MILWAUKEE
State	WI
ZIP	53224
Phone	414 365-8300
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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