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Organization

CENTERWELL CERTIFIED HEALTHCARE CORP.

Active
Other names
CenterWell Home Health
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(615) 360-9000
Entity
Organization

Contact information

Practice address
1321 MURFREESBORO PIKE STE 512, NASHVILLE, TN 37217-2626
(615) 360-9000
(615) 360-9278
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
0094420
G2
05
0094420
TN
01
013100P
G2
05
044-7488
TN
01
11264533
G2
01
113414024D
G2
01
447488
G2
05
447488
TN
01
60-20010
G2
01
60-20020
G2
01
ANC015
G2
01
GA0663
G2
05
Q033163
TN
Enumeration date
07/06/2006
Last updated
12/05/2023
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