Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(309) 786-3700
Entity
Organization
Contact information
Practice address
2001 52ND AVE STE 5, MOLINE, IL 61265-6368
(309) 786-3700
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
IL-COMMERCIAL NUMBER
—
05
—
07641
—
IL
05
—
0917435
—
IA
05
—
0917435
—
IL
01
—
109673
IL-COMMERCIAL NUMBER
—
01
—
112135
IL-COMMERCIAL NUMBER
—
01
—
113414024D
IL-COMMERCIAL NUMBER
—
01
—
147428
IL-COMMERCIAL NUMBER
—
01
—
29109
IL-COMMERCIAL NUMBER
—
01
—
50210
IL-COMMERCIAL NUMBER
—
01
—
67124
IL-COMMERCIAL NUMBER
—
01
—
9788
IL-COMMERCIAL NUMBER
—
01
—
ANC015
IL-COMMERCIAL NUMBER
—
01
—
GA0050
IL-COMMERCIAL NUMBER
—
Enumeration date
06/24/2006
Last updated
10/26/2023
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