Organization
CENTERWELL HEALTH SERVICES (CERTIFIED), INC.
Active
Other names
CENTERWELL HOME HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(863) 648-9118
Entity
Organization
Contact information
Practice address
3671 INNOVATION DR, LAKELAND, FL 33812-4106
(863) 648-9118
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
—
013100P
G2
—
01
—
080053
G2
—
01
—
1013683
G2
—
01
—
107937308
G2
—
01
—
112135
G2
—
01
—
112256479
G2
—
01
—
112645333
G2
—
01
—
112645333009
1H
—
01
—
115712
G2
—
01
—
146544
G2
—
01
—
169027
G2
—
01
—
19001
G2
—
01
—
2117422
G2
—
Enumeration date
07/10/2006
Last updated
12/08/2023
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