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CENTERWELL CERTIFIED HEALTHCARE CORP. NPI 1710919998


NPI Information

NPI: 1710919998
Provider Name: CENTERWELL CERTIFIED HEALTHCARE CORP.

Doing Business As: CENTERWELL HOME HEALTH

Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
4030 MOORPARK AVE
SUITE 251
SAN JOSE, CA
ZIP 95117
Phone: (408) 261-2801
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CENTERWELL CERTIFIED HEALTHCARE CORP. is a home health in San Jose, CA. 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 1710919998. 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:

4030 MOORPARK AVE
SUITE 251
SAN JOSE, CA
ZIP 95117-807
Phone: (408) 261-2801

The provider's authorized official is John Nichols .
The authorized official title is Authorized Signatory and has the following contact phone number (408) 261-2801.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 10/26/2023.


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
1028758OTHERCA-COMMERCIAL NUMBER
2114543OTHERCA-COMMERCIAL NUMBER
3095190OTHERCA-COMMERCIAL NUMBER
4106825016OTHERCA-COMMERCIAL NUMBER
5235392OTHERCA-COMMERCIAL NUMBER
65868461OTHERCA-COMMERCIAL NUMBER
711-3414024OTHERCA-COMMERCIAL NUMBER
83722OTHERCA-COMMERCIAL NUMBER
9565800OTHERCA-COMMERCIAL NUMBER
10070000279OTHERCA-COMMERCIAL NUMBER
11113414024OTHERCA-COMMERCIAL NUMBER
1255-7052OTHERCA-COMMERCIAL NUMBER
13564469OTHERCA-COMMERCIAL NUMBER
14ANC015OTHERCA-COMMERCIAL NUMBER
15013100POTHERCA-COMMERCIAL NUMBER
16557052OTHERCA-COMMERCIAL NUMBER
17HHA07842FMEDICAIDCALIFORNIA

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.