Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W NICHOLS (AUTHORIZED OFFICIAL)
(314) 434-3030
Entity
Organization
Contact information
Practice address
12125 WOODCREST EXECUTIVE DR STE 340, CREVE COEUR, MO 63141-5004
(314) 434-3030
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
05
—
0000377
—
MO
05
—
261711006
—
MO
05
—
281711002
—
MO
05
—
586992703
—
MO
Enumeration date
06/24/2006
Last updated
11/30/2023
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