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)
(352) 787-2780
Entity
Organization
Contact information
Practice address
106 LAGRANDE BLVD, THE VILLAGES, FL 32159-1310
(352) 787-2780
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
—
01
—
020100
G2
—
01
—
070417
G2
—
01
—
080053
G2
—
01
—
095190
G2
—
01
—
1019245
G2
—
01
—
107512
G2
—
01
—
11-3414024
G2
—
01
—
112135
G2
—
01
—
112645333
G2
—
Enumeration date
07/10/2006
Last updated
01/02/2024
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