Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(520) 731-1333
Entity
Organization
Contact information
Practice address
5255 E WILLIAMS CIR STE 6400, TUCSON, AZ 85711-7718
(520) 731-1333
(520) 731-2722
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
—
00011327202
AZ-COMMERCIAL NUMBER
—
01
—
013100P
AZ-COMMERCIAL NUMBER
—
01
—
037036
AZ-COMMERCIAL NUMBER
—
01
—
1015524
AZ-COMMERCIAL NUMBER
—
01
—
106825011
AZ-COMMERCIAL NUMBER
—
01
—
11-3414024
AZ-COMMERCIAL NUMBER
—
01
—
2096892
AZ-COMMERCIAL NUMBER
—
01
—
3014811
AZ-COMMERCIAL NUMBER
—
05
—
333724
—
AZ
05
—
333724-23
—
AZ
05
—
351586
—
AZ
01
—
6000055
AZ-COMMERCIAL NUMBER
—
01
—
702022
AZ-COMMERCIAL NUMBER
—
01
—
7280276
AZ-COMMERCIAL NUMBER
—
01
—
8413-90
AZ-COMMERCIAL NUMBER
—
01
—
ANC015
AZ-COMMERCIAL NUMBER
—
01
—
AZ0701490
AZ-COMMERCIAL NUMBER
—
Enumeration date
06/24/2006
Last updated
10/18/2023
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