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Centerwell Certified Healthcare Corp
Home Health Agency in Petaluma, California
NPI 1700813615

Centerwell Certified Healthcare Corp is a Home Health Agency based in Overland Park, CA. Centerwell Certified Healthcare Corp practices in Petaluma, CA. The NPI Number for Centerwell Certified Healthcare Corp is 1700813615 and holds a License No. (California).

The current practice location address for Centerwell Certified Healthcare Corp is 5341 Old Redwood Hwy Ste 350, Petaluma, CA and can be reached out via phone at 707-545-7114.

Location: 5341 Old Redwood Hwy Ste 350, Petaluma, CA, 66211-1157
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700813615
Provider Name
Centerwell Certified Healthcare Corp
Credential
Provider Entity Type
Organization
Address
5341 Old Redwood Hwy Ste 350, Petaluma, CA, 66211-1157
Phone Number
707-545-7114
Fax Number
Provider Enumeration Date
06/27/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ34072Z 01 CA-BLUE SHIELD
05-7036 01 CA-COMMERCIAL NUMBER
010000084 01 CA-COMMERCIAL NUMBER
333724 05 CA
520121 01 CA-COMMERCIAL NUMBER
11-3414024 01 CA-COMMERCIAL NUMBER
564478 01 CA-COMMERCIAL NUMBER
5868461 01 CA-COMMERCIAL NUMBER
057036 01 CA-COMMERCIAL NUMBER
ZZR07036H 05 CA
013100P 01 CA-COMMERCIAL NUMBER
106825024 01 CA-COMMERCIAL NUMBER
113414024 01 CA-COMMERCIAL NUMBER
565800 01 CA-COMMERCIAL NUMBER
GA0699 01 CA-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
5341 Old Redwood Hwy Ste 350
City
Petaluma
State
California
Zip
94954-7127
Phone Number
707-545-7114
Fax Number
person
Provider Business Mailing Address Details
Address
5341 Old Redwood Hwy Ste 350
City
Petaluma
State
California
Zip
94954-7127
Phone Number
707-545-7114
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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