Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED OFFICIAL)
(501) 525-5888
Entity
Organization
Contact information
Practice address
4328 CENTRAL AVE, SUITE E, HOT SPRINGS, AR 71913-5907
(501) 525-5888
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
—
0003019448
AR-COMMERCIAL NUMBER
—
01
—
013100P
AR-COMMERCIAL NUMBER
—
01
—
047105
AR-COMMERCIAL NUMBER
—
01
—
0564382
AR-COMMERCIAL NUMBER
—
01
—
11341402450
AR-COMMERCIAL NUMBER
—
05
—
129060732
—
AR
05
—
129062514
—
AR
05
—
129062514 (AR)
—
AR
05
—
130045757
—
AR
05
—
130046752
—
AR
05
—
138834742
—
AR
05
—
138834742(AR)
—
AR
05
—
145451757
—
AR
05
—
145452752
—
AR
05
—
145486738
—
AR
05
—
145689732
—
AR
01
—
17029
AR-COMMERCIAL NUMBER
—
Enumeration date
07/07/2006
Last updated
11/30/2023
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