Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(413) 443-3525
Entity
Organization
Contact information
Practice address
279 DALTON AVE STE B, PITTSFIELD, MA 01201-3500
(413) 443-3525
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
—
000000021018
G2
—
01
—
0003032740
G2
—
01
—
0008212
G2
—
01
—
013100P
G2
—
01
—
020100
G2
—
05
—
0606006
—
MA
01
—
1020033
G2
—
01
—
113414024H
G2
—
01
—
15047
G2
—
01
—
227219
G2
—
01
—
235397
G2
—
01
—
3267811
G2
—
01
—
565800
G2
—
01
—
60-00179
G2
—
01
—
63102610611H
G2
—
01
—
702022
G2
—
01
—
801438
G2
—
Enumeration date
07/08/2006
Last updated
11/29/2023
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