Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W NICHOLS (AUTHORIZED SIGNATORY)
(336) 288-1181
Entity
Organization
Contact information
Practice address
1000 REVOLUTION MILL DR STE 1, GREENSBORO, NC 27405-5083
(336) 288-1181
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
—
0074P
G2
—
01
—
0076F
G2
—
01
—
0094Q
G2
—
01
—
013100P
G2
—
01
—
107937336
G2
—
05
—
1093738072
—
NC
01
—
112802024
G2
—
01
—
113414024G
G2
—
01
—
12416
G2
—
01
—
19001
G2
—
01
—
2118367
G2
—
01
—
2244811
G2
—
01
—
227654
G2
—
01
—
259837
G2
—
05
—
3408703
—
NC
05
—
3417075
—
NC
01
—
347073
G2
—
Enumeration date
07/25/2006
Last updated
11/16/2023
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