Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(269) 381-5620
Entity
Organization
Contact information
Practice address
5148 LOVERS LN, SUITE 210, PORTAGE, MI 49002-1572
(269) 381-5620
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
—
013100P
MI-COMMERCIAL NUMBER
—
01
—
07214-655201
MI-COMMERCIAL NUMBER
—
01
—
0E802
MI-COMMERCIAL NUMBER
—
01
—
1015680-0001
MI-COMMERCIAL NUMBER
—
01
—
1015681-0001
MI-COMMERCIAL NUMBER
—
01
—
1018480
MI-COMMERCIAL NUMBER
—
01
—
109673
MI-COMMERCIAL NUMBER
—
01
—
113414024051
MI-COMMERCIAL NUMBER
—
05
—
113414024052
—
MI
01
—
126683
MI-COMMERCIAL NUMBER
—
01
—
126718
MI-COMMERCIAL NUMBER
—
05
—
14558
—
MI
05
—
15 4362705
—
MI
05
—
152887462
—
MI
05
—
2887462
—
MI
Enumeration date
07/07/2006
Last updated
11/16/2023
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