Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(410) 997-5257
Entity
Organization
Contact information
Practice address
9250 RUMSEY RD STE 200, COLUMBIA, MD 21045-2031
(410) 997-5257
(410) 997-5430
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
—
013100P
G2
—
01
—
020100
G2
—
01
—
079413500
G2
—
01
—
1015766
G2
—
01
—
1016766
G2
—
01
—
106825072
G2
—
01
—
112210
G2
—
01
—
113414024H
G2
—
01
—
2114445
G2
—
01
—
217071
G2
—
01
—
227654
G2
—
01
—
2825557
G2
—
01
—
28689
G2
—
01
—
327050
G2
—
05
—
360443800
—
MD
Enumeration date
06/27/2006
Last updated
11/16/2023
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