Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(757) 499-2303
Entity
Organization
Contact information
Practice address
5544 GREENWICH RD, SUITE 300, VIRGINIA BEACH, VA 23462-6563
(757) 499-2303
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
05
—
004972716
—
VA
01
—
0074P
G2
—
05
—
008701784
—
VA
05
—
008750025
—
VA
05
—
008770565
—
VA
01
—
1014548
G2
—
01
—
113414024G
G2
—
05
—
1881625051
—
VA
01
—
2118451
G2
—
01
—
227654
G2
—
01
—
314390
G2
—
01
—
42706-30
G2
—
01
—
497271
G2
—
01
—
564395
G2
—
01
—
600055
G2
—
01
—
651-YL
G2
—
01
—
8413-90
G2
—
01
—
AN6015
G2
—
Enumeration date
07/06/2006
Last updated
12/05/2023
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