Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(208) 667-5470
Entity
Organization
Contact information
Practice address
1230 W NORTHWOOD CENTER CT, SUITE C, COEUR D ALENE, ID 83814-4940
(208) 667-5470
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
—
808640800
—
ID
Enumeration date
07/04/2006
Last updated
10/18/2023
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