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Find providers by NPI
Organization

CENTERWELL HEALTH SERVICES (CERTIFIED), INC.

Active
Other names
CENTERWELL HOME HEALTH
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(386) 758-3490
Entity
Organization

Contact information

Practice address
419 SW STATE ROAD 247 STE 109, LAKE CITY, FL 32025-8318
(386) 758-3490
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
G2
01
070415
G2
01
080053
G2
01
095190
G2
01
1016443
G2
01
107420
G2
01
11-3414024
G2
01
112645333
G2
01
113414024
G2
01
146544
G2
01
2117440
G2
01
249710
G2
01
435459
1A
01
6000055
G2
01
689825
G2
01
7342031
G2
01
79298
G2
Enumeration date
07/10/2006
Last updated
12/08/2023
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