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CENTERWELL CERTIFIED HEALTHCARE CORP. NPI 1689600371


NPI Information

NPI: 1689600371
Provider Name: CENTERWELL CERTIFIED HEALTHCARE CORP.

Doing Business As: CENTERWELL HOME HEALTH

Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 28D0711556

Address:
1045 N 115TH ST STE 350
OMAHA, NE
ZIP 68154
Phone: (402) 343-9433
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CENTERWELL CERTIFIED HEALTHCARE CORP. is a home health in Omaha, NE. 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 1689600371. 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:

1045 N 115TH ST STE 350
OMAHA, NE
ZIP 68154-415
Phone: (402) 343-9433

The provider's authorized official is John W Nichols .
The authorized official title is Authorized Official and has the following contact phone number (402) 343-9433.

The CLIA number assigned to this NPI record is 28D0711556 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/24/2006 and was last updated on 11/30/2023.


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
10925024MEDICAIDNEBRASKA
2ANC015OTHERNE-COMMERCIAL NUMBER
3GA0734OTHERNE-COMMERCIAL NUMBER
40925024MEDICAIDIOWA
510662334MEDICAIDNEBRASKA
66000478OTHERNE-COMMERCIAL NUMBER
70450OTHERNE-COMMERCIAL NUMBER
883186OTHERNE-COMMERCIAL NUMBER
9013100POTHERNE-COMMERCIAL NUMBER
101018667OTHERNE-COMMERCIAL NUMBER
11945395002MEDICAIDNEBRASKA
12287038OTHERNE-COMMERCIAL NUMBER
1310183001OTHERNE-COMMERCIAL NUMBER
1467129OTHERNE-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.