52D2124464 CLIA NUMBER - ALPHA CARE HEALTH SERVICES OF WI, INC

Laboratory Demographics

CLIA Number: 52D2124464

Facility Name: ALPHA CARE HEALTH SERVICES OF WI, INC

Facility Address:
600 N PLANKINTON AVE STE 302
MILWAUKEE, WI
ZIP 53203
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Facility Phone Number: 917 544-6300

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1811448061

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	52D2124464
LAB Type	Home Health Agency
Facility Name	ALPHA CARE HEALTH SERVICES OF WI, INC
Street	600 N PLANKINTON AVE STE 302
City	MILWAUKEE
State	WI
ZIP	53203
Phone	917 544-6300
CertificateType	4
CertificateEffectiveDate	1/18/2023
CertificateExpirationDate	1/17/2025
FacilityType	Waiver

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