Organization
CENTERWELL CERTIFIED HEALTHCARE CORP.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(207) 990-9000
Entity
Organization
Contact information
Practice address
396 GRIFFIN RD UNIT 201, BANGOR, ME 04401-3027
(207) 990-0000
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
—
000000015681
G2
—
01
—
013100P
G2
—
01
—
113414024
G2
—
01
—
120243
G2
—
05
—
160770001
—
ME
05
—
160770201
—
ME
05
—
160770202
—
ME
05
—
160770300
—
ME
01
—
207045
G2
—
01
—
2273784
G2
—
01
—
235397
G2
—
01
—
28689
G2
—
01
—
6000006
G2
—
01
—
702022
G2
—
01
—
7706020
G2
—
Enumeration date
07/10/2006
Last updated
11/09/2023
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