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CENTERWELL CERTIFIED HEALTHCARE CORP. NPI 1316974272


NPI Information

NPI: 1316974272
Provider Name: CENTERWELL CERTIFIED HEALTHCARE CORP.

Doing Business As: CENTERWELL HOME HEALTH

Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 34D0922037

Address:
1985 TATE BLVD SE STE 304
HICKORY, NC
ZIP 28602
Phone: (828) 322-6131
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CENTERWELL CERTIFIED HEALTHCARE CORP. is a home health in Hickory, NC. 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 1316974272. 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:

1985 TATE BLVD SE STE 304
HICKORY, NC
ZIP 28602-469
Phone: (828) 322-6131

The provider's authorized official is John W Nichols .
The authorized official title is Authorized Signatory and has the following contact phone number (828) 322-6131.

The CLIA number assigned to this NPI record is 34D0922037 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/27/2006 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 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
142706-30OTHERG2
2600055OTHERG2
3106825096OTHERG2
42241199OTHERG2
56003419OTHERG2
6013100POTHERG2
70420NOTHERG2
8347300OTHERG2
93408703MEDICAIDNORTH CAROLINA
101316974272MEDICAIDNORTH CAROLINA
113407300MEDICAIDNORTH CAROLINA
120076FOTHERG2
132241203OTHERG2
1412416OTHERG2
150094QOTHERG2
162118388OTHERG2
17259837OTHERG2

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.