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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.

Location: 4030 Moorpark Ave, San Jose, CA, 66211-1157
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
San Jose
State
California
Zip
95117-1807
Phone Number
408-261-2801
Fax Number
person
Provider Business Mailing Address Details
Address
4030 Moorpark Ave
City
San Jose
State
California
Zip
95117-1807
Phone Number
408-261-2801
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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