Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CENTERWELL HOME HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(256) 835-7101
Entity
Organization
Contact information
Practice address
88 ALI WAY STE 84, OXFORD, AL 36203-1835
(256) 835-7101
(256) 835-7190
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
—
013100P
G2
—
01
—
017151
G2
—
01
—
07959
G2
—
01
—
1020847
G2
—
01
—
115712
G2
—
01
—
2352450
G2
—
01
—
3722
G2
—
01
—
4546469
G2
—
01
—
510-07956
G2
—
01
—
510-50592
G2
—
01
—
51041146
G2
—
01
—
51526313
G2
—
01
—
6000048
G2
—
01
—
7349528
G2
—
01
—
79298
G2
—
01
—
ANC015
G2
—
05
—
GEN7151A
—
AL
Enumeration date
07/02/2006
Last updated
05/16/2024
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