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Centerwell Certified Healthcare Corp.
Home Health Agency in Portage, Michigan
NPI 1629000989

Centerwell Certified Healthcare Corp. is a Home Health Agency based in Overland Park, MI. Centerwell Certified Healthcare Corp. practices in Portage, MI. The NPI Number for Centerwell Certified Healthcare Corp. is 1629000989 and holds a License No. (Michigan).

The current practice location address for Centerwell Certified Healthcare Corp. is 5148 Lovers Ln, Portage, MI and can be reached out via phone at 269-381-5620.

Location: 5148 Lovers Ln, Portage, MI, 66211-1157
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629000989
Provider Name
Centerwell Certified Healthcare Corp.
Credential
Provider Entity Type
Organization
Address
5148 Lovers Ln, Portage, MI, 66211-1157
Phone Number
269-381-5620
Fax Number
Provider Enumeration Date
07/07/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1015681-0001 01 MI-COMMERCIAL NUMBER
126718 01 MI-COMMERCIAL NUMBER
1015680-0001 01 MI-COMMERCIAL NUMBER
07214-655201 01 MI-COMMERCIAL NUMBER
1018480 01 MI-COMMERCIAL NUMBER
113414024051 01 MI-COMMERCIAL NUMBER
013100P 01 MI-COMMERCIAL NUMBER
0E802 01 MI-COMMERCIAL NUMBER
113414024052 05 MI
126683 01 MI-COMMERCIAL NUMBER
14558 05 MI
152887462 05 MI
109673 01 MI-COMMERCIAL NUMBER
15 4362705 05 MI
2887462 05 MI
institution
Provider Business Practice Location Address Details
Address
5148 Lovers Ln
City
Portage
State
Michigan
Zip
49002-1572
Phone Number
269-381-5620
Fax Number
person
Provider Business Mailing Address Details
Address
5148 Lovers Ln
City
Portage
State
Michigan
Zip
49002-1572
Phone Number
269-381-5620
Fax Number
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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