Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(425) 745-4345
Entity
Organization
Contact information
Practice address
728 134TH ST SW STE 203, EVERETT, WA 98204-5322
(425) 745-4345
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
—
1021032
WA-COMMERCIAL NUMBER
—
01
—
113414024
WA-COMMERCIAL NUMBER
—
01
—
1173
WA-BLUE CROSS
—
01
—
135182
WA-COMMERCIAL NUMBER
—
01
—
2223178
WA-COMMERCIAL NUMBER
—
01
—
300066153
WA-COMMERCIAL NUMBER
—
01
—
321563001
WA-COMMERCIAL NUMBER
—
01
—
3865GE
WA-BLUE SHIELD
—
05
—
3865GE
—
WA
01
—
5340GE
WA-BLUE SHIELD
—
01
—
7271048
WA-COMMERCIAL NUMBER
—
05
—
9019159
—
WA
05
—
9041112
—
WA
05
—
9041138
—
WA
05
—
9041575
—
WA
01
—
ANC015
WA-COMMERCIAL NUMBER
—
Enumeration date
06/30/2006
Last updated
12/15/2023
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