Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CENTERWELL HOME HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(770) 998-1393
Entity
Organization
Contact information
Practice address
1303 HIGHTOWER TRL, SUITE 105, ATLANTA, GA 30350-2919
(770) 998-1393
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
—
1016875
G2
—
01
—
106825038
G2
—
01
—
112135
G2
—
01
—
113414024G
G2
—
01
—
146544
G2
—
01
—
19001
G2
—
01
—
2886106
G2
—
01
—
510-07956
G2
—
01
—
52655785
G2
—
01
—
7803376
G2
—
01
—
79298
G2
—
05
—
797880700A
—
GA
01
—
827390
G2
—
01
—
ANC015
G2
—
01
—
GA2202
G2
—
Enumeration date
07/04/2006
Last updated
02/15/2024
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