Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(775) 858-1900
Entity
Organization
Contact information
Practice address
1755 E PLUMB LN STE 159, RENO, NV 89502-3683
(775) 858-1900
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
—
002916002
—
NV
05
—
003016234
—
NV
01
—
013100P
NV-COMMERCIAL NUMBER
—
01
—
1018070
NV-COMMERCIAL NUMBER
—
01
—
11-3414024
NV-COMMERCIAL NUMBER
—
01
—
113414024F
NV-COMMERCIAL NUMBER
—
01
—
114543
NV-COMMERCIAL NUMBER
—
01
—
145040
NV-COMMERCIAL NUMBER
—
01
—
2187753
NV-COMMERCIAL NUMBER
—
05
—
29 16002
—
NV
05
—
29-16002
—
NV
01
—
297022
NV-COMMERCIAL NUMBER
—
05
—
30-16234
—
NV
01
—
300066104
NV-COMMERCIAL NUMBER
—
01
—
3575153
NV-COMMERCIAL NUMBER
—
05
—
58 16002
—
NV
05
—
58-16002
—
NV
Enumeration date
06/27/2006
Last updated
02/05/2024
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