Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(805) 544-4402
Entity
Organization
Contact information
Practice address
805 AEROVISTA PL STE 204, SAN LUIS OBISPO, CA 93401-7920
(440) 280-5544
Mailing address
6330 SPRINT PKWY STE 400, OVERLAND PARK, KS 66211-1171
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013100P
CA-COMMERCIAL NUMBER
—
01
—
05-7203
CA-COMMERCIAL NUMBER
—
01
—
050000095
CA-COMMERCIAL NUMBER
—
01
—
057203
CA-COMMERCIAL NUMBER
—
01
—
106825020
CA-COMMERCIAL NUMBER
—
01
—
564457
CA-COMMERCIAL NUMBER
—
01
—
5868461
CA-COMMERCIAL NUMBER
—
01
—
ANC015
CA-COMMERCIAL NUMBER
—
01
—
GA0592
CA-COMMERCIAL NUMBER
—
05
—
HHA07203G
—
CA
01
—
ZZZ35475Z
CA-BLUE SHIELD
—
Enumeration date
06/24/2006
Last updated
10/17/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us