Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W NICHOLS (VICE PRESIDENT OF LICENSURE)
(434) 846-5219
Entity
Organization
Contact information
Practice address
20715 TIMBERLAKE RD STE 106, LYNCHBURG, VA 24502-7217
(434) 846-5219
(434) 528-4963
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
—
004947606
—
VA
05
—
004970985
—
VA
05
—
008700737
—
VA
05
—
008750815
—
VA
05
—
008771294
—
VA
01
—
1016429
G2
—
01
—
112214
G2
—
05
—
1194753194
—
VA
01
—
2118448
G2
—
01
—
227654
G2
—
01
—
314390
G2
—
01
—
497429
G2
—
01
—
51940
G2
—
01
—
600055
G2
—
01
—
7049027
G2
—
05
—
8750815
—
VA
01
—
90291
G2
—
01
—
ANC015
G2
—
Enumeration date
06/29/2006
Last updated
12/05/2023
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