Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CENTERWELL HOME HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(912) 355-3409
Entity
Organization
Contact information
Practice address
2280 E VICTORY DR, SUITE B, SAVANNAH, GA 31404-3957
(912) 355-3409
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
05
—
00426643B
—
GA
05
—
00702292A
—
GA
05
—
00702292B
—
GA
01
—
013100P
G2
—
01
—
1018804
G2
—
01
—
117090
G2
—
01
—
2229010
G2
—
01
—
2229923
G2
—
01
—
235394
G2
—
01
—
235397
G2
—
01
—
52655785
G2
—
01
—
564395
G2
—
01
—
600055
G2
—
01
—
7519056
G2
—
01
—
7824059
G2
—
01
—
79298
G2
—
Enumeration date
07/05/2006
Last updated
10/23/2023
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