Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W NICHOLS (AUTHORIZED SIGNATORY)
(704) 933-1001
Entity
Organization
Contact information
Practice address
201 SECURITY ST, KANNAPOLIS, NC 28083-2757
(704) 933-1001
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
—
0076F
G2
—
01
—
0094Q
G2
—
01
—
106825091
G2
—
01
—
12416
G2
—
05
—
1720010010
—
NC
01
—
2118504
G2
—
01
—
259837
G2
—
05
—
3407170
—
NC
05
—
3408703
—
NC
01
—
347170
G2
—
01
—
42706-30
G2
—
01
—
42707-30
G2
—
01
—
600055
G2
—
05
—
6600486
—
NC
05
—
7100004
—
NC
01
—
7320052
G2
—
05
—
7701350
—
NC
01
—
79298
G2
—
01
—
ANC015
G2
—
Enumeration date
07/07/2006
Last updated
11/29/2023
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