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)
(352) 402-0660
Entity
Organization
Contact information
Practice address
311 SE 17TH PL, OCALA, FL 34471-5224
(352) 402-0660
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
—
00011327202
G2
—
01
—
013100P
G2
—
01
—
020100
G2
—
01
—
070417
G2
—
01
—
080053
G2
—
01
—
095190
G2
—
01
—
1013971
G2
—
01
—
107512
G2
—
01
—
107937324
G2
—
01
—
11-3414024
G2
—
01
—
112645333
G2
—
01
—
112802024
G2
—
01
—
146544
G2
—
Enumeration date
07/03/2006
Last updated
12/14/2023
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