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52D1068141 CLIA NUMBER - HIGHLANDER HOME HEALTH CARE

Laboratory Demographics

CLIA Number: 52D1068141

Facility Name: HIGHLANDER HOME HEALTH CARE

Facility Address:
5626 N 91ST ST STE 203
MILWAUKEE, WI
ZIP 53225
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Facility Phone Number: 414 461-2331

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1184653867

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 52D1068141
LAB Type Home Health Agency
Facility Name HIGHLANDER HOME HEALTH CARE
Street 5626 N 91ST ST STE 203
City MILWAUKEE
State WI
ZIP 53225
Phone 414 461-2331
CertificateType 4
CertificateEffectiveDate 5/3/2023
CertificateExpirationDate 5/2/2025
FacilityType Waiver

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