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)
(913) 814-2077
Entity
Organization
Contact information
Practice address
2000 FRONTIS PLAZA BLVD STE 302, WINSTON SALEM, NC 27103-5616
(336) 397-3331
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
—
010268303
—
VA
05
—
1578626321
—
NC
05
—
3407204
—
NC
Enumeration date
12/19/2006
Last updated
10/12/2023
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