Organization
CENTERWELL HEALTH SERVICES (CERTIFIED), INC.
Active
Other names
CENTERWELL HOME HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (SIGNATORY AUTHORITY)
(386) 328-0202
Entity
Organization
Contact information
Practice address
205 ZEAGLER DR STE 401, PALATKA, FL 32177-3887
(386) 328-0202
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
—
070421
G2
—
01
—
080053
G2
—
01
—
1016448
G2
—
01
—
107514
G2
—
01
—
11-3414024
G2
—
01
—
112645333
G2
—
01
—
113414024G
G2
—
01
—
120243
G2
—
01
—
146544
G2
—
01
—
210510
G2
—
01
—
2117450
G2
—
01
—
2338051
G2
—
01
—
249710
G2
—
Enumeration date
07/10/2006
Last updated
12/20/2023
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