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CENTERWELL HEALTH SERVICES (CERTIFIED) INC. NPI 1669406377


NPI Information

NPI: 1669406377
Provider Name: CENTERWELL HEALTH SERVICES (CERTIFIED), INC.

Doing Business As: CENTERWELL HOME HEALTH

Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 10D0678185

Address:
419 SW STATE ROAD 247 STE 109
LAKE CITY, FL
ZIP 32025
Phone: (386) 758-3490
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CENTERWELL HEALTH SERVICES (CERTIFIED), INC. is a home health in Lake City, FL. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. CENTERWELL HEALTH SERVICES (CERTIFIED), INC. NPI is 1669406377. The provider is registered as an organization entity type.
The provider Is Doing Business As Centerwell Home Health.

The provider's business location address is:

419 SW STATE ROAD 247 STE 109
LAKE CITY, FL
ZIP 32025-318
Phone: (386) 758-3490

The provider's authorized official is John Nichols .
The authorized official title is Authorized Signatory and has the following contact phone number (386) 758-3490.

The CLIA number assigned to this NPI record is 10D0678185 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 12/8/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1146544OTHERG2
22117440OTHERG2
311-3414024OTHERG2
4249710OTHERG2
57342031OTHERG2
6013100POTHERG2
7070415OTHERG2
8095190OTHERG2
9107420OTHERG2
10689825OTHERG2
11080053OTHERG2
12112645333OTHERG2
13435459OTHER1A
146000055OTHERG2
151016443OTHERG2
16113414024OTHERG2
1779298OTHERG2

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.