institution
Centerwell Certified Healthcare Corp.
Home Health Agency in San Jose, California
NPI 1710919998

Centerwell Certified Healthcare Corp. is a Home Health Agency based in Overland Park, CA. Centerwell Certified Healthcare Corp. practices in San Jose, CA. The NPI Number for Centerwell Certified Healthcare Corp. is 1710919998 and holds a License No. (California).

The current practice location address for Centerwell Certified Healthcare Corp. is 4030 Moorpark Ave, San Jose, CA and can be reached out via phone at 408-261-2801. You can also correspond with Centerwell Certified Healthcare Corp. through the mailing address at 6330 SPRINT PKWY STE 300, OVERLAND PARK, KS - 66211-1157 (mailing address contact number: ).

Location: 4030 Moorpark Ave, San Jose, CA, 66211-1157
institution
Provider Profile Details
NPI Number
1710919998
Provider Name
Centerwell Certified Healthcare Corp.
Credential
Provider Entity Type
Organization
Address
4030 Moorpark Ave, San Jose, CA, 66211-1157
Phone Number
408-261-2801
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
028758 01 CA-COMMERCIAL NUMBER
114543 01 CA-COMMERCIAL NUMBER
095190 01 CA-COMMERCIAL NUMBER
106825016 01 CA-COMMERCIAL NUMBER
235392 01 CA-COMMERCIAL NUMBER
5868461 01 CA-COMMERCIAL NUMBER
11-3414024 01 CA-COMMERCIAL NUMBER
3722 01 CA-COMMERCIAL NUMBER
565800 01 CA-COMMERCIAL NUMBER
070000279 01 CA-COMMERCIAL NUMBER
113414024 01 CA-COMMERCIAL NUMBER
55-7052 01 CA-COMMERCIAL NUMBER
564469 01 CA-COMMERCIAL NUMBER
ANC015 01 CA-COMMERCIAL NUMBER
013100P 01 CA-COMMERCIAL NUMBER
557052 01 CA-COMMERCIAL NUMBER
HHA07842F 05 CA
institution
Provider Business Practice Location Address Details
Address
4030 Moorpark Ave
City
State
Zip
95117-1807
Phone Number
408-261-2801
Fax Number
person
Provider Business Mailing Address Details
Address
4030 Moorpark Ave
City
State
Zip
95117-1807
Phone Number
408-261-2801
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
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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