Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(304) 733-9430
Entity
Organization
Contact information
Practice address
3198 US ROUTE 60 STE A, ONA, WV 25545-9507
(304) 733-9430
(304) 733-9439
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
—
0005018-002
—
WV
05
—
0005018002
—
WV
01
—
001741776
WV-COMMERCIAL NUMBER
—
01
—
013100P
WV-COMMERCIAL NUMBER
—
01
—
109673
WV-COMMERCIAL NUMBER
—
01
—
113414024
WV-COMMERCIAL NUMBER
—
01
—
113414024-00
WV-COMMERCIAL NUMBER
—
01
—
202041
WV-COMMERCIAL NUMBER
—
05
—
2050766
—
OH
05
—
2050766
—
WV
01
—
2118392
WV-COMMERCIAL NUMBER
—
01
—
235397
WV-COMMERCIAL NUMBER
—
05
—
3810000157
—
WV
05
—
5018002
—
WV
01
—
517048
WV-COMMERCIAL NUMBER
—
Enumeration date
07/05/2006
Last updated
10/12/2023
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