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)
(941) 749-2990
Entity
Organization
Contact information
Practice address
5265 OFFICE PARK BLVD STE 101, BRADENTON, FL 34203-3441
(941) 749-2990
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
—
00011327202
G2
—
01
—
080053
G2
—
01
—
095190
G2
—
01
—
1013513
G2
—
01
—
11-3414024
G2
—
01
—
112645333
G2
—
01
—
115712
G2
—
01
—
146544
G2
—
01
—
2117419
G2
—
01
—
2307500
G2
—
01
—
235397
G2
—
01
—
249710
G2
—
01
—
321563003
G2
—
01
—
6000055
G2
—
01
—
689825
G2
—
Enumeration date
06/19/2006
Last updated
10/11/2023
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