Organization
CENTERWELL HEALTH SERVICES (CERTIFIED), INC.
Active
Other names
CENTERWELL HOME HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(727) 531-0300
Entity
Organization
Contact information
Practice address
380 PARK PLACE BLVD STE 270, CLEARWATER, FL 33759-4929
(727) 531-0300
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013100P
G2
—
01
—
080053
G2
—
01
—
1014507
G2
—
01
—
107171
G2
—
01
—
107937312
G2
—
01
—
11225647902
G2
—
01
—
112645333
G2
—
01
—
146544
G2
—
01
—
19001
G2
—
01
—
2117425
G2
—
01
—
2353091
G2
—
01
—
235397
G2
—
01
—
249710
G2
—
01
—
6000055
G2
—
01
—
689825
G2
—
Enumeration date
06/30/2006
Last updated
12/08/2023
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