Organization
CENTERWELL HEALTH SERVICES (CERTIFIED), INC.
Active
Other names
CENTERWELL HOME HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(850) 862-3240
Entity
Organization
Contact information
Practice address
1140 N EGLIN PKWY STE 1, SHALIMAR, FL 32579-1227
(850) 862-3240
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
—
1016439
G2
—
01
—
107240
G2
—
01
—
107937330
G2
—
01
—
11-3414024
G2
—
01
—
112645333
G2
—
01
—
113414024G
G2
—
01
—
146544
G2
—
01
—
2117437
G2
—
01
—
2338051
G2
—
01
—
249710
G2
—
01
—
6000055
G2
—
01
—
689825
G2
—
01
—
7342031
G2
—
01
—
7349528
G2
—
01
—
79298
G2
—
Enumeration date
07/10/2006
Last updated
12/20/2023
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