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)
(540) 362-7578
Entity
Organization
Contact information
Practice address
5238 VALLEYPOINTE PKWY STE 1B, ROANOKE, VA 24019-3066
(540) 362-7578
(540) 362-8150
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
—
0003302145
G2
—
05
—
004947371
—
VA
05
—
004974298
—
VA
05
—
008700630
—
VA
05
—
008750165
—
VA
05
—
008771286
—
VA
01
—
1014588
G2
—
05
—
1124059688
—
VA
01
—
113414024G
G2
—
01
—
2118448
G2
—
01
—
227654
G2
—
01
—
42706-30
G2
—
01
—
497429
G2
—
01
—
600055
G2
—
01
—
7049027
G2
—
05
—
8750165
—
VA
01
—
ANCO15
G2
—
Enumeration date
07/05/2006
Last updated
12/05/2023
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