Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CENTERWELL HOME HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(913) 814-2077
Entity
Organization
Contact information
Practice address
1300 E NEW CIRCLE RD STE 180, LEXINGTON, KY 40505-4259
(859) 252-4206
(859) 225-5096
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054236
G2
—
01
—
000013015J
G2
—
01
—
000028220
G2
—
01
—
013100P
G2
—
05
—
1050333
—
KY
01
—
113414024D
G2
—
01
—
15324
G2
—
01
—
187095
G2
—
01
—
235397
G2
—
05
—
34020347
—
KY
05
—
41034026
—
KY
05
—
42017343
—
KY
05
—
45345402
—
KY
01
—
505
G2
—
01
—
7405017
G2
—
05
—
82071400
—
WI
Enumeration date
07/08/2006
Last updated
11/16/2023
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