Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W NICHOLS (AUTHORIZED SIGNATORY)
(281) 446-5366
Entity
Organization
Contact information
Practice address
9810 FM 1960 BYPASS RD W, SUITE 215, HUMBLE, TX 77338-3502
(281) 446-5366
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
05
—
001002269
—
TX
01
—
013100P
TX-COMMERCIAL NUMBER
—
01
—
020100
TX-COMMERCIAL NUMBER
—
01
—
0300339
TX-COMMERCIAL NUMBER
—
01
—
1020575
TX-COMMERCIAL NUMBER
—
01
—
11-3414024
TX-COMMERCIAL NUMBER
—
01
—
113414024
TX-COMMERCIAL NUMBER
—
01
—
114543
TX-COMMERCIAL NUMBER
—
05
—
1364945-03
—
TX
05
—
136494503
—
TX
05
—
1662975-01
—
TX
01
—
2193368
TX-COMMERCIAL NUMBER
—
01
—
235397
TX-COMMERCIAL NUMBER
—
01
—
300066126
TX-COMMERCIAL NUMBER
—
01
—
457264
TX-COMMERCIAL NUMBER
—
01
—
564522
TX-COMMERCIAL NUMBER
—
05
—
DMEH09152
—
TX
Enumeration date
07/04/2006
Last updated
12/01/2023
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