Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(304) 255-5263
Entity
Organization
Contact information
Practice address
112 MELLON ST, BECKLEY, WV 25801-3536
(304) 255-5263
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
—
0005018-001
—
WV
01
—
0005018001
WV-COMMERCIAL NUMBER
—
05
—
0005018001
—
WV
01
—
001741723
WV-COMMERCIAL NUMBER
—
01
—
013100P
WV-COMMERCIAL NUMBER
—
01
—
070032800
WV-COMMERCIAL NUMBER
—
05
—
100693266
—
PA
01
—
113414024-01
WV-COMMERCIAL NUMBER
—
01
—
1530955
WV-COMMERCIAL NUMBER
—
01
—
2118500
WV-COMMERCIAL NUMBER
—
01
—
235397
WV-COMMERCIAL NUMBER
—
05
—
3810000154
—
WV
05
—
5018001
—
WV
01
—
517048
WV-COMMERCIAL NUMBER
—
01
—
600055
WV-COMMERCIAL NUMBER
—
Enumeration date
06/30/2006
Last updated
10/12/2023
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