Organization
QC-MEDI NEW YORK, INC.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(516) 746-8013
Entity
Organization
Contact information
Practice address
865 MERRICK AVE, SUITE 340 SOUTH, WESTBURY, NY 11590-6695
(516) 746-8013
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
—
000400510008
1B
—
05
—
003109635
—
CT
05
—
01447745
—
NY
01
—
020100
G2
—
01
—
040401001283
G2
—
01
—
1017399
G2
—
01
—
111171
G2
—
01
—
112645333
G2
—
01
—
116529
G2
—
01
—
18614
G2
—
01
—
235397
G2
—
01
—
337289
G2
—
01
—
3700135
G2
—
01
—
397422
G2
—
01
—
4411
G2
—
01
—
565800
G2
—
01
—
702022
G2
—
01
—
7695046
G2
—
01
—
866454
G2
—
Enumeration date
07/07/2006
Last updated
09/02/2022
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