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Organization

CENTERWELL CERTIFIED HEALTHCARE CORP.

Active
Other names
CenterWell Home Health
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(765) 282-0351
Entity
Organization

Contact information

Practice address
400 N HIGH ST, SUITE 202, MUNCIE, IN 47305-1646
(765) 282-0351
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
000000255408
IN-COMMERCIAL NUMBER
01
0003302145
IN-COMMERCIAL NUMBER
01
013100P
IN-COMMERCIAL NUMBER
01
100264810
IN-COMMERCIAL NUMBER
05
100264810A
IN
05
100265320C
IN
01
1020650
IN-COMMERCIAL NUMBER
01
109673
IN-COMMERCIAL NUMBER
01
157180
IN-COMMERCIAL NUMBER
05
200400970C
IN
01
2171467
IN-COMMERCIAL NUMBER
01
5076005
IN-COMMERCIAL NUMBER
01
8413-90
IN-COMMERCIAL NUMBER
01
ANC015
IN-COMMERCIAL NUMBER
01
GA0630
IN-COMMERCIAL NUMBER
Enumeration date
07/07/2006
Last updated
11/01/2023
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