Organization
CENTERWELL HEALTH SERVICES (CERTIFIED), INC.
Active
Other names
CENTERWELL HOME HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(813) 920-9389
Entity
Organization
Contact information
Practice address
17240 CAMELOT CT UNIT 101, LAND O LAKES, FL 34638-7287
(813) 920-9389
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
—
070412
G2
—
01
—
080053
G2
—
01
—
1014658
G2
—
01
—
107330
G2
—
01
—
107937314
G2
—
01
—
11225647902
G2
—
01
—
112645333
G2
—
01
—
112802024
G2
—
01
—
146544
G2
—
01
—
18618
G2
—
01
—
2117429
G2
—
01
—
2307500
G2
—
01
—
235397
G2
—
Enumeration date
07/04/2006
Last updated
12/14/2023
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