Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(860) 674-1302
Entity
Organization
Contact information
Practice address
200 CORPORATE PL STE 300, ROCKY HILL, CT 06067-1861
(860) 674-1302
Mailing address
6330 SPRINT PKWY STE 300, 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
05
—
004043758
—
CT
01
—
013100P
G2
—
01
—
027339
G2
—
01
—
077162
G2
—
01
—
1019567
G2
—
01
—
112207
G2
—
01
—
113414024H
G2
—
01
—
120243
G2
—
01
—
15047
G2
—
01
—
2273784
G2
—
01
—
235397
G2
—
01
—
40437580000
G2
—
01
—
564522
G2
—
01
—
60-00178
G2
—
01
—
6000055
G2
—
01
—
651
G2
—
01
—
651-YI
G2
—
Enumeration date
07/05/2006
Last updated
09/18/2024
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