KELIZ INC
NPI 1063977403
Home Health in Alexandria, VA
- Organization
- Home Health
- CLIA Number: 49D2192019
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 09-02-2026
About KELIZ INC
This page provides the complete NPI Profile along with additional information for Keliz Inc, a provider established in Alexandria, Virginia operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1063977403 assigned on February 2019. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Octavie Bongam-sikod (Director)
- NPI
- 1063977403 Verify this NPI
- Provider Name
- KELIZ INC
- Entity Type
- Organization
- Location Address
- 85 S BRAGG ST # 401 ALEXANDRIA, VA 22312
- Location Phone
- (703) 814-5106
- Location Fax
- (703) 348-6140
- Mailing Address
- 85 S BRAGG ST # 401 ALEXANDRIA, VA 22312
- Mailing Phone
- (703) 814-5106
- Mailing Fax
- (703) 348-6140
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-08-2019
- Last Update Date
- 02-08-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Home Health
- Taxonomy Code
- 251E00000X
- Type
- Agencies
- Taxonomy Description
- 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 Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 49D2192019
- Facility Type
- Home Health Agency
- Certificate Effective Date
- September 03, 2024
- Certificate Expiration Date
- September 02, 2026
- Laboratory Director
- OCTAVIE B. BONGAM-SIKOD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Keliz Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063977403, enumerated as an "organization" on February 08, 2019.
The provider is located at 85 S BRAGG ST # 401 ALEXANDRIA, VA 22312 and the phone number is (703) 814-5106.
Home Health with taxonomy code 251E00000X.
