(PARENT CO-HEALTHCARE RESOURCE CO. LLC) (HRC HOME HEALTH SERVICES-BROWARD, LLC) NPI 1205899788

Home Health in Plantation, FL

NPI 1205899788 Organization Home Health CLIA Number 10D1030211 CLIA Certificate of Waiver

About (PARENT CO-HEALTHCARE RESOURCE CO. LLC) (HRC HOME HEALTH SERVICES-BROWARD, LLC)

(parent Co-healthcare Resource Co. Llc) (hrc Home Health Services-broward, Llc) is a provider established in Plantation, Florida specializing in home health. The NPI number of (parent Co-healthcare Resource Co. Llc) (hrc Home Health Services-broward, Llc) is 1205899788 and was assigned on April 2006. The practitioner's primary taxonomy code is 251E00000X with license number HHA299991979 (FL). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's other name is (parent Co-healthcare Resource Co. Llc). The authorized official of this NPI record is Mr. Robert P Hostler (Director/ceo/president)

The CLIA number of (parent Co-healthcare Resource Co. Llc) is 10D1030211 registered as a "home health agency" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to (parent Co-healthcare Resource Co. Llc) 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.

NPI

1205899788

Provider Name(PARENT CO-HEALTHCARE RESOURCE CO. LLC) (HRC HOME HEALTH SERVICES-BROWARD, LLC)
Provider Location Address201 NW 82ND AVE STE 203A PLANTATION, FL 33324
Provider Mailing Address201 NW 82ND AVE STE 203A PLANTATION, FL 33324
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization Name(PARENT CO-HEALTHCARE RESOURCE CO. LLC)
Other Name TypeOther Name (5)
Enumeration Date04-07-2006
Last Update Date10-21-2020


Primary Taxonomy

Taxonomy Code251E00000X
ClassificationHome Health
TypeAgencies
License No.HHA299991979
License StateFL
Taxonomy DescriptionA 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.

Business Address

(PARENT CO-HEALTHCARE RESOURCE CO. LLC)
201 NW 82ND AVE STE 203A
PLANTATION, FL
ZIP 33324
Phone: (954) 472-8212
Fax: (954) 472-8213

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Mailing Address

(PARENT CO-HEALTHCARE RESOURCE CO. LLC)
201 NW 82ND AVE STE 203A
PLANTATION, FL
ZIP 33324
Phone: (954) 472-8212
Fax: (954) 472-8213



Authorized Official

Authorized Official NameMR. ROBERT P HOSTLER
Authorized Official TitleDIRECTOR/CEO/PRESIDENT
Authorized Official Phone(703) 359-7200

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 the NPI number 1205899788 is:

CLIA Number10D1030211
Facility TypeHOME HEALTH AGENCY
Certificate TypeCertificate of Waiver

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
HHA299991979OTHER (01)FL

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.