Organization
CENTERWELL CERTIFIED HEALTHCARE CORP
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(317) 481-2281
Entity
Organization
Contact information
Practice address
5250 E US HIGHWAY 36 STE 850, AVON, IN 46123-7875
(317) 481-2281
(317) 381-0099
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157
(913) 814-2674
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300009475
—
IN
Enumeration date
08/22/2008
Last updated
10/27/2023
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