Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED OFFICIAL)
(218) 723-8999
Entity
Organization
Contact information
Practice address
11 E SUPERIOR ST STE 508, DULUTH, MN 55802-3014
(218) 723-8999
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
MN-COMMERCIAL NUMBER
—
05
—
023355200
—
MN
01
—
109673
MN-COMMERCIAL NUMBER
—
01
—
169027
MN-COMMERCIAL NUMBER
—
05
—
169027
—
MN
01
—
247241
MN-COMMERCIAL NUMBER
—
01
—
4117KI
MN-COMMERCIAL NUMBER
—
05
—
4117KI
—
MN
01
—
5900031
MN-COMMERCIAL NUMBER
—
05
—
5900031
—
MN
01
—
991234
MN-COMMERCIAL NUMBER
—
01
—
ANC015
MN-COMMERCIAL NUMBER
—
01
—
GA0785
MN-COMMERCIAL NUMBER
—
Enumeration date
07/07/2006
Last updated
10/14/2023
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