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)
(904) 731-3515
Entity
Organization
Contact information
Practice address
350 CORPORATE WAY STE 250, ORANGE PARK, FL 32073-2853
(904) 731-3515
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
—
05
—
027048296
—
FL
05
—
027050401
—
FL
01
—
049004
G2
—
01
—
070418
G2
—
01
—
080053
G2
—
01
—
1013610
G2
—
01
—
107290
G2
—
01
—
112645333
G2
—
01
—
113414024
G2
—
01
—
113414024G
G2
—
01
—
146544
G2
—
01
—
2117441
G2
—
01
—
2227374
G2
—
Enumeration date
07/01/2006
Last updated
12/14/2023
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