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Centerwell Certified Healthcare Corp.
Home Health Agency in South Charleston, West Virginia
NPI 1356370639

Centerwell Certified Healthcare Corp. is a Home Health Agency based in Overland Park, WV. Centerwell Certified Healthcare Corp. practices in South Charleston, WV. The NPI Number for Centerwell Certified Healthcare Corp. is 1356370639 and holds a License No. (West Virginia).

The current practice location address for Centerwell Certified Healthcare Corp. is 4825 Maccorkle Ave Sw Ste F, South Charleston, WV and can be reached out via phone at 304-346-9667 and via fax at 304-346-9717.

Location: 4825 Maccorkle Ave Sw Ste F, South Charleston, WV, 66211-1157
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356370639
Provider Name
Centerwell Certified Healthcare Corp.
Credential
Provider Entity Type
Organization
Address
4825 Maccorkle Ave Sw Ste F, South Charleston, WV, 66211-1157
Phone Number
304-346-9667
Fax Number
304-346-9717
Provider Enumeration Date
06/30/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001741773 01 WV-COMMERCIAL NUMBER
113414024-03 01 WV-COMMERCIAL NUMBER
2118364 01 WV-COMMERCIAL NUMBER
7723012 01 WV-COMMERCIAL NUMBER
ANC015 01 WV-COMMERCIAL NUMBER
920155 01 WV-COMMERCIAL NUMBER
0003019448 01 WV-COMMERCIAL NUMBER
517048 01 WV-COMMERCIAL NUMBER
0005018000 05 WV
013100P 01 WV-COMMERCIAL NUMBER
235397 01 WV-COMMERCIAL NUMBER
28689 01 WV-COMMERCIAL NUMBER
600055 01 WV-COMMERCIAL NUMBER
0160941000 05 WV
5018000 05 WV
8413-90 01 WV-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
4825 Maccorkle Ave Sw Ste F
City
South Charleston
State
West Virginia
Zip
25309-1365
Phone Number
304-346-9667
Fax Number
304-346-9717
person
Provider Business Mailing Address Details
Address
4825 Maccorkle Ave Sw Ste F
City
South Charleston
State
West Virginia
Zip
25309-1365
Phone Number
304-346-9667
Fax Number
304-346-9717
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
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.
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