Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CENTERWELL HOME HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(334) 361-9806
Entity
Organization
Contact information
Practice address
1988 FAIRVIEW AVE, PRATTVILLE, AL 36066-5215
(334) 361-9806
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
G2
—
01
—
017055
G2
—
01
—
07959
G2
—
01
—
1020849
G2
—
01
—
113414024G
G2
—
01
—
115712
G2
—
01
—
2352450
G2
—
01
—
34511
G2
—
01
—
3722
G2
—
01
—
41146
G2
—
01
—
4546469
G2
—
01
—
510-07956
G2
—
01
—
510-50592
G2
—
01
—
51041146
G2
—
01
—
6000048
G2
—
05
—
GEN7055A
—
AL
Enumeration date
07/03/2006
Last updated
10/18/2023
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