Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W NICHOLS (AUTHORIZED SIGNATORY)
(828) 322-6131
Entity
Organization
Contact information
Practice address
1985 TATE BLVD SE STE 304, HICKORY, NC 28602-1469
(828) 322-6131
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
—
0076F
G2
—
01
—
0094Q
G2
—
01
—
013100P
G2
—
01
—
0420N
G2
—
01
—
106825096
G2
—
01
—
12416
G2
—
05
—
1316974272
—
NC
01
—
2118388
G2
—
01
—
2241199
G2
—
01
—
2241203
G2
—
01
—
259837
G2
—
05
—
3407300
—
NC
05
—
3408703
—
NC
01
—
347300
G2
—
01
—
42706-30
G2
—
01
—
600055
G2
—
01
—
6003419
G2
—
Enumeration date
06/27/2006
Last updated
11/29/2023
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