Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(203) 377-5117
Entity
Organization
Contact information
Practice address
99 HAWLEY LANE, SUITE 1101, STRATFORD, CT 06614-1204
(203) 377-5117
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
—
004177699
—
CT
01
—
013100P
G2
—
01
—
027336
G2
—
01
—
077218
G2
—
01
—
098690
G2
—
01
—
1020022
G2
—
01
—
113414024H
G2
—
01
—
116529
G2
—
01
—
15047
G2
—
01
—
335394
G2
—
01
—
40437580000
G2
—
01
—
4072971
G2
—
01
—
60-00178
G2
—
01
—
651-YI
G2
—
01
—
728069
G2
—
01
—
801438
G2
—
01
—
ANC015
G2
—
Enumeration date
06/27/2006
Last updated
11/01/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us