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)
(850) 878-2191
Entity
Organization
Contact information
Practice address
1709 HERMITAGE BLVD STE 102, TALLAHASSEE, FL 32308-2706
(850) 878-2191
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
—
070422
G2
—
01
—
080053
G2
—
01
—
095190
G2
—
01
—
1016456
G2
—
01
—
107200
G2
—
01
—
11-3414024
G2
—
01
—
112645333
G2
—
01
—
113414024G
G2
—
01
—
146544
G2
—
01
—
2117445
G2
—
01
—
2338051
G2
—
01
—
235397
G2
—
01
—
249710
G2
—
01
—
6000055
G2
—
Enumeration date
07/04/2006
Last updated
01/05/2024
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