Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(508) 672-0675
Entity
Organization
Contact information
Practice address
275 MARTINE ST STE 104, FALL RIVER, MA 02723-1500
(508) 672-0675
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
—
0008212
G2
—
01
—
013100P
G2
—
01
—
0604313
G2
—
01
—
0606308/1030200
G2
—
01
—
0606391
G2
—
05
—
0606391
—
MA
01
—
1020028
G2
—
01
—
227260
G2
—
01
—
3267811
G2
—
01
—
335394
G2
—
01
—
565800
G2
—
01
—
60-00179
G2
—
01
—
63102610611H
G2
—
01
—
702022
G2
—
01
—
801438
G2
—
01
—
ANC015
G2
—
01
—
GA0745
G2
—
Enumeration date
07/05/2006
Last updated
11/28/2023
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