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CENTERWELL CERTIFIED HEALTHCARE CORP. NPI 1194757468


NPI Information

NPI: 1194757468
Provider Name: CENTERWELL CERTIFIED HEALTHCARE CORP.

Doing Business As: CENTERWELL HOME HEALTH

Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 24D0664550

Address:
7101 NORTHLAND CIR N STE 101
BROOKLYN PARK, MN
ZIP 55428
Phone: (763) 416-0289
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CENTERWELL CERTIFIED HEALTHCARE CORP. is a home health in Brooklyn Park, MN. 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 1194757468. 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:

7101 NORTHLAND CIR N STE 101
BROOKLYN PARK, MN
ZIP 55428-517
Phone: (763) 416-0289

The provider's authorized official is John Nichols .
The authorized official title is Authorized Official and has the following contact phone number (651) 636-6330.

The CLIA number assigned to this NPI record is 24D0664550 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 4/22/2024.


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
1071755000OTHERMN-COMMERCIAL NUMBER
2109673OTHERMN-COMMERCIAL NUMBER
3169027MEDICAIDMINNESOTA
4565732OTHERMN-COMMERCIAL NUMBER
5071755000MEDICAIDMINNESOTA
6169027OTHERMN-COMMERCIAL NUMBER
741525000MEDICAIDMINNESOTA
841532800OTHERMN-COMMERCIAL NUMBER
9106825087OTHERMN-COMMERCIAL NUMBER
10247145OTHERMN-COMMERCIAL NUMBER
1141525000MEDICAIDWISCONSIN
125900033MEDICAIDMINNESOTA
13113414024DOTHERMN-COMMERCIAL NUMBER
145900031OTHERMN-COMMERCIAL NUMBER
15013100POTHERMN-COMMERCIAL NUMBER
164614OLOTHERMN-COMMERCIAL NUMBER
174614OLMEDICAIDMINNESOTA
185900033OTHERMN-COMMERCIAL NUMBER

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.