Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(408) 261-2801
Entity
Organization
Contact information
Practice address
4030 MOORPARK AVE, SUITE 251, SAN JOSE, CA 95117-1807
(408) 261-2801
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
CA-COMMERCIAL NUMBER
—
01
—
028758
CA-COMMERCIAL NUMBER
—
01
—
070000279
CA-COMMERCIAL NUMBER
—
01
—
095190
CA-COMMERCIAL NUMBER
—
01
—
106825016
CA-COMMERCIAL NUMBER
—
01
—
11-3414024
CA-COMMERCIAL NUMBER
—
01
—
113414024
CA-COMMERCIAL NUMBER
—
01
—
114543
CA-COMMERCIAL NUMBER
—
01
—
235392
CA-COMMERCIAL NUMBER
—
01
—
3722
CA-COMMERCIAL NUMBER
—
01
—
55-7052
CA-COMMERCIAL NUMBER
—
01
—
557052
CA-COMMERCIAL NUMBER
—
01
—
564469
CA-COMMERCIAL NUMBER
—
01
—
565800
CA-COMMERCIAL NUMBER
—
01
—
5868461
CA-COMMERCIAL NUMBER
—
01
—
ANC015
CA-COMMERCIAL NUMBER
—
05
—
HHA07842F
—
CA
Enumeration date
07/07/2006
Last updated
10/26/2023
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