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) 346-9667
Entity
Organization
Contact information
Practice address
4825 MACCORKLE AVE SW STE F, SOUTH CHARLESTON, WV 25309-1365
(304) 346-9667
(304) 346-9717
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
WV-COMMERCIAL NUMBER
—
05
—
0005018000
—
WV
01
—
001741773
WV-COMMERCIAL NUMBER
—
01
—
013100P
WV-COMMERCIAL NUMBER
—
05
—
0160941000
—
WV
01
—
113414024-03
WV-COMMERCIAL NUMBER
—
01
—
2118364
WV-COMMERCIAL NUMBER
—
01
—
235397
WV-COMMERCIAL NUMBER
—
01
—
28689
WV-COMMERCIAL NUMBER
—
05
—
5018000
—
WV
01
—
517048
WV-COMMERCIAL NUMBER
—
01
—
600055
WV-COMMERCIAL NUMBER
—
01
—
7723012
WV-COMMERCIAL NUMBER
—
01
—
8413-90
WV-COMMERCIAL NUMBER
—
01
—
920155
WV-COMMERCIAL NUMBER
—
01
—
ANC015
WV-COMMERCIAL NUMBER
—
Enumeration date
06/30/2006
Last updated
11/01/2023
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