Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W NICHOLS (AUTHORIZED SIGNATORY)
(804) 672-7500
Entity
Organization
Contact information
Practice address
7113 THREE CHOPT RD STE 301, RICHMOND, VA 23226-3643
(804) 672-7500
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
—
0003302145
G2
—
05
—
004946405
—
VA
05
—
004974247
—
VA
01
—
0074P
G2
—
01
—
0076F
G2
—
05
—
008700028
—
VA
05
—
008770743
—
VA
01
—
1016428
G2
—
01
—
113414024G
G2
—
01
—
115712
G2
—
05
—
1891726584
—
VA
01
—
2118447
G2
—
01
—
227654
G2
—
01
—
497424
G2
—
01
—
520121
G2
—
01
—
564395
G2
—
01
—
600055
G2
—
05
—
8750033
—
VA
01
—
ANCO15
G2
—
Enumeration date
07/05/2006
Last updated
12/05/2023
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