Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(304) 424-7172
Entity
Organization
Contact information
Practice address
39 12TH ST, PARKERSBURG, WV 26101-4339
(304) 424-7172
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
—
0003019448
WV-COMMERCIAL NUMBER
—
05
—
0004498000
—
WV
01
—
001741770
WV-COMMERCIAL NUMBER
—
01
—
009556
WV-COMMERCIAL NUMBER
—
01
—
013100P
WV-COMMERCIAL NUMBER
—
05
—
0800833
—
OH
05
—
0922407
—
OH
05
—
0922407
—
WV
01
—
113414024-02
WV-COMMERCIAL NUMBER
—
01
—
2118366
WV-COMMERCIAL NUMBER
—
01
—
235397
WV-COMMERCIAL NUMBER
—
01
—
300066156
WV-COMMERCIAL NUMBER
—
05
—
3810000153
—
WV
05
—
4498000
—
WV
01
—
504
WV-COMMERCIAL NUMBER
—
01
—
517087
WV-COMMERCIAL NUMBER
—
Enumeration date
06/30/2006
Last updated
10/12/2023
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