CENTERWELL CERTIFIED HEALTHCARE CORP. NPI 1023042264

NPI Information

  • NPI: 1023042264
  • Provider Name: CENTERWELL CERTIFIED HEALTHCARE CORP.
  • Classification: Home Health - 251E00000X
  • Entity Type: Organization
  • Doing Business As: CENTERWELL HOME HEALTH
  • CLIA Number: 39D1022354
  • Address: 1250 N 9TH ST
    SUITE 105
    STROUDSBURG, PA
    ZIP 18360
  • Phone: (570) 424-7790

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NPI Details

CENTERWELL CERTIFIED HEALTHCARE CORP. is a home health in Stroudsburg, PA. 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 CERTIFIED HEALTHCARE CORP. NPI is 1023042264. 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:

1250 N 9TH ST
SUITE 105
STROUDSBURG, PA
ZIP 18360-800
Phone: (570) 424-7790

The provider's authorized official is John Nichols .
The authorized official title is Authorized Signatory and has the following contact phone number (570) 424-7790.

The CLIA number assigned to this NPI record is 39D1022354 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 12/15/2023.

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
1009556OTHERG2
2013100POTHERG2
31006932660090MEDICAIDPENNSYLVANIA
4112802024OTHERG2
5337224OTHERG2
61500992OTHERG2
72207607OTHERG2
834253OTHERG2
9702022OTHERG2
10113414024HOTHERG2
111496438MEDICAIDPENNSYLVANIA
121018806OTHERG2
1330941OTHERG2
1460621MEDICAIDPENNSYLVANIA
15000000076734MEDICAIDPENNSYLVANIA
16235392OTHERG2
17397422OTHERG2

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: 3/30/2025

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