Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(708) 442-6420
Entity
Organization
Contact information
Practice address
2211 YORK RD STE 215, OAK BROOK, IL 60523
(708) 442-6420
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157
(913) 814-2674
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010900
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001010187
—
IL
01
—
10018129
COMMERCIAL
—
01
—
HH9554
BCBS
—
Enumeration date
08/05/2006
Last updated
12/22/2023
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