Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(865) 690-7767
Entity
Organization
Contact information
Practice address
146E MARKET PLACE BLVD, KNOXVILLE, TN 37922-2337
(865) 690-7767
(865) 690-0120
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
—
0003032739
G2
—
01
—
003302145
G2
—
01
—
0094420
G2
—
05
—
0094420
—
TN
01
—
013100P
G2
—
01
—
020204100
G2
—
05
—
0447111
—
TN
01
—
113414024
G2
—
01
—
113414024D
G2
—
05
—
44-7111
—
TN
01
—
447111
G2
—
01
—
60-20010
G2
—
01
—
60-20020
G2
—
01
—
ANC015
G2
—
01
—
GA0750
G2
—
Enumeration date
07/04/2006
Last updated
03/19/2024
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