Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(602) 992-0709
Entity
Organization
Contact information
Practice address
2231 E CAMELBACK RD STE 400, PHOENIX, AZ 85016-3435
(602) 992-0709
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
—
0003302145
AZ-COMMERCIAL NUMBER
—
01
—
013100P
AZ-COMMERCIAL NUMBER
—
01
—
037037
AZ-COMMERCIAL NUMBER
—
01
—
1015374
AZ-COMMERCIAL NUMBER
—
01
—
106825010
AZ-COMMERCIAL NUMBER
—
01
—
11-3414024
AZ-COMMERCIAL NUMBER
—
01
—
235392
AZ-COMMERCIAL NUMBER
—
01
—
3014811
AZ-COMMERCIAL NUMBER
—
01
—
321563003
AZ-COMMERCIAL NUMBER
—
05
—
333724
—
AZ
05
—
333724-23
—
AZ
01
—
564395
AZ-COMMERCIAL NUMBER
—
01
—
7280276
AZ-COMMERCIAL NUMBER
—
01
—
ANC015
AZ-COMMERCIAL NUMBER
—
01
—
AZ0701490
AZ-COMMERCIAL NUMBER
—
01
—
GA0005
AZ-COMMERCIAL NUMBER
—
Enumeration date
06/24/2006
Last updated
08/14/2024
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