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Organization

CENTERWELL CERTIFIED HEALTHCARE CORP.

Active
Other names
CenterWell Home Health
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(317) 915-1440
Entity
Organization

Contact information

Practice address
8606 ALLISONVILLE RD STE 350, INDIANAPOLIS, IN 46250-5514
(317) 915-1440
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
000000035875
IN-COMMERCIAL NUMBER
01
000000106902
IN-COMMERCIAL NUMBER
01
0003302145
IN-COMMERCIAL NUMBER
01
013100P
IN-COMMERCIAL NUMBER
05
100263840
IN
01
100263840A
IN-COMMERCIAL NUMBER
05
100263840A
IN
01
100264810
IN-COMMERCIAL NUMBER
05
100265320A
IN
01
1020025
IN-COMMERCIAL NUMBER
01
109673
IN-COMMERCIAL NUMBER
05
110263840A
IN
01
112135
IN-COMMERCIAL NUMBER
01
113414024D
IN-COMMERCIAL NUMBER
01
120243
IN-COMMERCIAL NUMBER
05
200400970A
IN
Enumeration date
07/07/2006
Last updated
03/19/2024
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