Organization · NPI-2

Centerwell Certified Healthcare Corp.

Home Health · Racine, WI

NPI number1225064934
StatusActive
Last updated in NPPESOct 24, 2023

Details

NPI
1225064934
Entity type
Organization (NPI-2)
Legal business name
Centerwell Certified Healthcare Corp.
Organization subpart
No
Enumeration date
Jun 24, 2006
Certification date
Oct 24, 2023
Last updated
Oct 24, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Other names

  • Centerwell Home Health (Doing Business As)

Practice location

6233 Bankers Road
Suite 1
Racine, WI 53403-9700

Phone 262-636-9036

Mailing address

6330 Sprint Pkwy Ste 300
Overland Park, KS 66211-1157

Authorized official

John Nichols
Authorized Signatory
2626369036

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