Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(843) 744-1191
Entity
Organization
Contact information
Practice address
4975 LACROSS RD, SUITE 354, NORTH CHARLESTON, SC 29406-6531
(843) 744-1191
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
—
HHA300
—
SC
Enumeration date
07/25/2008
Last updated
10/12/2023
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