Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W NICHOLS (AUTHORIZED OFFICIAL)
(501) 223-8310
Entity
Organization
Contact information
Practice address
10825 FINANCIAL CENTRE PKWY STE 210, LITTLE ROCK, AR 72211-3545
(501) 223-8310
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
AR-COMMERCIAL NUMBER
—
01
—
047029
AR-COMMERCIAL NUMBER
—
01
—
0564382
AR-COMMERCIAL NUMBER
—
01
—
112135
AR-COMMERCIAL NUMBER
—
01
—
11341402450
AR-COMMERCIAL NUMBER
—
01
—
115712
AR-COMMERCIAL NUMBER
—
05
—
121950742
—
AR
05
—
122835716
—
AR
05
—
129058732
—
AR
05
—
129059514
—
AR
05
—
131156742
—
AR
05
—
145488738
—
AR
05
—
145687732
—
AR
01
—
1500992
AR-COMMERCIAL NUMBER
—
01
—
17029
AR-COMMERCIAL NUMBER
—
01
—
17900
AR-COMMERCIAL NUMBER
—
01
—
235397
AR-COMMERCIAL NUMBER
—
Enumeration date
07/07/2006
Last updated
11/30/2023
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