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)
(704) 594-9029
Entity
Organization
Contact information
Practice address
9009 PERIMETER WOODS DRIVE, SUITE C, CHARLOTTE, NC 28216-0040
(704) 594-9029
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
—
049002
G2
—
01
—
113414024
G2
—
01
—
1134141024G
G2
—
01
—
12416
G2
—
05
—
1437175338
—
NC
01
—
18618
G2
—
01
—
2118366
G2
—
01
—
2241306
G2
—
01
—
259837
G2
—
05
—
3407177
—
NC
01
—
347177
G2
—
01
—
42706-30
G2
—
01
—
565800
G2
—
01
—
600055
G2
—
Enumeration date
07/14/2006
Last updated
11/29/2023
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