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)
(386) 274-1088
Entity
Organization
Contact information
Practice address
1737 N CLYDE MORRIS BLVD STE 110, DAYTONA BEACH, FL 32117-5534
(386) 274-1088
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
—
00011327202
G2
—
01
—
013100P
G2
—
05
—
027154301
—
FL
01
—
080053
G2
—
01
—
095190
G2
—
01
—
1016435
G2
—
01
—
107338
G2
—
01
—
107937315
G2
—
01
—
11-3414024
G2
—
01
—
112645333
G2
—
01
—
113414024G
G2
—
01
—
146544
G2
—
01
—
2117426
G2
—
01
—
2196642
G2
—
Enumeration date
06/30/2006
Last updated
12/08/2023
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