Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED OFFICIAL)
(651) 636-6330
Entity
Organization
Contact information
Practice address
7101 NORTHLAND CIR N STE 101, BROOKLYN PARK, MN 55428-1517
(763) 416-0289
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
MN-COMMERCIAL NUMBER
—
01
—
071755000
MN-COMMERCIAL NUMBER
—
05
—
071755000
—
MN
01
—
106825087
MN-COMMERCIAL NUMBER
—
01
—
109673
MN-COMMERCIAL NUMBER
—
01
—
113414024D
MN-COMMERCIAL NUMBER
—
01
—
169027
MN-COMMERCIAL NUMBER
—
05
—
169027
—
MN
01
—
247145
MN-COMMERCIAL NUMBER
—
05
—
41525000
—
MN
05
—
41525000
—
WI
01
—
41532800
MN-COMMERCIAL NUMBER
—
01
—
4614OL
MN-COMMERCIAL NUMBER
—
05
—
4614OL
—
MN
01
—
565732
MN-COMMERCIAL NUMBER
—
01
—
5900031
MN-COMMERCIAL NUMBER
—
01
—
5900033
MN-COMMERCIAL NUMBER
—
05
—
5900033
—
MN
Enumeration date
07/07/2006
Last updated
04/22/2024
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