Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(413) 733-1132
Entity
Organization
Contact information
Practice address
95 ELM ST STE 100, WEST SPRINGFIELD, MA 01089-2595
(413) 733-1132
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
—
0008212
G2
—
01
—
013100P
G2
—
01
—
1020036
G2
—
01
—
1020037
G2
—
05
—
110024326P
—
MA
01
—
111168
G2
—
01
—
120243
G2
—
01
—
15047
G2
—
01
—
227224
G2
—
01
—
235397
G2
—
01
—
3267811
G2
—
01
—
520121
G2
—
01
—
60-00179
G2
—
01
—
60-03419
G2
—
01
—
651-YI
G2
—
01
—
801438
G2
—
01
—
ANC015
G2
—
Enumeration date
07/06/2006
Last updated
12/12/2023
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