Organization
CENTERWELL CERTIFIED HEALTHCARE CORP
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(707) 545-7114
Entity
Organization
Contact information
Practice address
5341 OLD REDWOOD HWY STE 350, PETALUMA, CA 94954-7127
(707) 545-7114
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
—
010000084
CA-COMMERCIAL NUMBER
—
01
—
013100P
CA-COMMERCIAL NUMBER
—
01
—
05-7036
CA-COMMERCIAL NUMBER
—
01
—
057036
CA-COMMERCIAL NUMBER
—
01
—
106825024
CA-COMMERCIAL NUMBER
—
01
—
11-3414024
CA-COMMERCIAL NUMBER
—
01
—
113414024
CA-COMMERCIAL NUMBER
—
05
—
333724
—
CA
01
—
520121
CA-COMMERCIAL NUMBER
—
01
—
564478
CA-COMMERCIAL NUMBER
—
01
—
565800
CA-COMMERCIAL NUMBER
—
01
—
5868461
CA-COMMERCIAL NUMBER
—
01
—
GA0699
CA-COMMERCIAL NUMBER
—
05
—
ZZR07036H
—
CA
01
—
ZZZ34072Z
CA-BLUE SHIELD
—
Enumeration date
06/27/2006
Last updated
10/26/2023
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