Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CENTERWELL HOME HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(270) 885-7887
Entity
Organization
Contact information
Practice address
540 NOEL AVE, HOPKINSVILLE, KY 42240-1386
(270) 885-7887
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054236
G2
—
01
—
000028220
G2
—
05
—
1050333
—
KY
01
—
109673
G2
—
01
—
112135
G2
—
01
—
120243
G2
—
01
—
15324
G2
—
05
—
17000241
—
KY
01
—
187124
G2
—
05
—
34003244
—
KY
05
—
41024027
—
KY
05
—
42002246
—
KY
05
—
45341179
—
KY
01
—
60800-62
G2
—
01
—
7405017
G2
—
01
—
94420
G2
—
01
—
9894
G2
—
01
—
ANC015
G2
—
Enumeration date
07/08/2006
Last updated
11/08/2023
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