Home care agency license
[PDF File]IN-HOME CARE AGENCY
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Page 1 of 4 Revised: 10/2018 In-Home Care Agency License Application Form Type of Action New Agency*: Parent Subunit (provide name of parent agency and city where located.In addition, attach separate document identifying all subunits associated with the
Licensure of Home Health Care Agencies
"Primary agency" means a home health care agency which hires or pays for the services of other organizations, agencies or individuals who provide care or services to its patients; (dd) "Primary care nurse" means a registered nurse licensed to practice nursing in this state who is the agency employee assigned primary responsibility for planning and
[PDF File]In-Home Services License Application Packet
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resulting from the sale of a licensed In-Home Services Agency. Any transaction that results in a change of the unified business identifier or federal employer identification number. • Amended-To request the addition of a Service Category (e.g. Home Care, Home Health, Hospice, Hospice Care Center); add or eliminate Service(s),
[PDF File]Home Care Agency Licensing Application
https://info.5y1.org/home-care-agency-license_1_099aa9.html
Office of Health Care Assurance, State Licensing Section . State of Hawaii, Department of Health . 601 Kamokila Boulevard, Room 361, Kapolei, Hawaii 96707 . LICENSE FEE After the Home Care Application is processed and prior to issuance of a Home Care Agency license, the agency/organization shall pay Hawaii Department of Health an initial
[PDF File]If you fail to submit all requested information, the ...
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Care Agency/Home Care Registry. Please note that all questions must be answered, and all requested supporting documentation must be provided. If you fail to submit all requested information, the application materials will be mailed back to you. If your application is in accordance with Pennsylvania Home Care Agency …
[PDF File]Guidance to Home Care Agencies and Registries Licensed by ...
https://info.5y1.org/home-care-agency-license_1_52179d.html
home care agency or home care registry shall ensure that the direct care worker has done one of the following: (1) Obtained a valid nurse’s license in this Commonwealth. (2) Demonstrated competency by passing a competency examination developed by the home care agency or home care registry which meets the requirements of subsections (b) and (c).
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