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CENTERWELL CERTIFIED HEALTHCARE CORP. NPI 1205867819


NPI Information

NPI: 1205867819
Provider Name: CENTERWELL CERTIFIED HEALTHCARE CORP.

Doing Business As: CENTERWELL HOME HEALTH

Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 50D0711312

Address:
204 SE STONE MILL DR STE 260
VANCOUVER, WA
ZIP 98684
Phone: (360) 253-7746
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CENTERWELL CERTIFIED HEALTHCARE CORP. is a home health in Vancouver, WA. 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 1205867819. 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:

204 SE STONE MILL DR STE 260
VANCOUVER, WA
ZIP 98684-507
Phone: (360) 253-7746

The provider's authorized official is John Nichols .
The authorized official title is Authorized Signatory and has the following contact phone number (360) 253-7746.

The CLIA number assigned to this NPI record is 50D0711312 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 11/29/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12223178OTHERWA-COMMERCIAL NUMBER
29041146MEDICAIDWASHINGTON
31018040OTHERWA-COMMERCIAL NUMBER
4113414024FOTHERWA-COMMERCIAL NUMBER
5139256OTHERWA-COMMERCIAL NUMBER
6300066151OTHERWA-COMMERCIAL NUMBER
7507081OTHERWA-COMMERCIAL NUMBER
81173OTHERWA-BLUE CROSS
9321563003OTHERWA-COMMERCIAL NUMBER
107271048OTHERWA-COMMERCIAL NUMBER
117405566MEDICAIDWASHINGTON
12013100POTHERWA-COMMERCIAL NUMBER
137407638MEDICAIDWASHINGTON
149040171MEDICAIDWASHINGTON
150802536745920OTHERWA-COMMERCIAL NUMBER
16117319OTHERWA-COMMERCIAL NUMBER
17113414024OTHERWA-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: 4/28/2024

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.