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)
(334) 222-2172
Entity
Organization
Contact information
Practice address
1512 E THREE NOTCH ST, ANDALUSIA, AL 36420-3454
(334) 222-2172
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
—
017121
G2
—
01
—
07956
G2
—
01
—
07958
G2
—
01
—
1020846
G2
—
01
—
112645333
G2
—
01
—
112645333071
1H
—
01
—
112645333081
1H
—
01
—
2352450
G2
—
01
—
3722
G2
AL
01
—
4546469
G2
—
01
—
51041146
G2
—
01
—
51526122
G2
—
01
—
6000048
G2
—
01
—
600055
G2
—
01
—
689825
G2
—
01
—
7349528
G2
—
01
—
79298
G2
—
05
—
GEN7121A
—
AL
Enumeration date
07/02/2006
Last updated
12/29/2023
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