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Centerwell Certified Healthcare Corp.
Home Health Agency in Moline, Illinois
NPI 1861428559

Centerwell Certified Healthcare Corp. is a Home Health Agency based in Overland Park, IL. Centerwell Certified Healthcare Corp. practices in Moline, IL. The NPI Number for Centerwell Certified Healthcare Corp. is 1861428559 and holds a License No. (Illinois).

The current practice location address for Centerwell Certified Healthcare Corp. is 2001 52Nd Ave Ste 5, Moline, IL and can be reached out via phone at 309-786-3700.

Location: 2001 52Nd Ave Ste 5, Moline, IL, 66211-1157
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861428559
Provider Name
Centerwell Certified Healthcare Corp.
Credential
Provider Entity Type
Organization
Address
2001 52Nd Ave Ste 5, Moline, IL, 66211-1157
Phone Number
309-786-3700
Fax Number
Provider Enumeration Date
06/24/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
013100P 01 IL-COMMERCIAL NUMBER
109673 01 IL-COMMERCIAL NUMBER
50210 01 IL-COMMERCIAL NUMBER
67124 01 IL-COMMERCIAL NUMBER
0917435 05 IA
147428 01 IL-COMMERCIAL NUMBER
29109 01 IL-COMMERCIAL NUMBER
GA0050 01 IL-COMMERCIAL NUMBER
0917435 05 IL
112135 01 IL-COMMERCIAL NUMBER
113414024D 01 IL-COMMERCIAL NUMBER
ANC015 01 IL-COMMERCIAL NUMBER
07641 05 IL
9788 01 IL-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
2001 52Nd Ave Ste 5
City
Moline
State
Illinois
Zip
61265-6368
Phone Number
309-786-3700
Fax Number
person
Provider Business Mailing Address Details
Address
2001 52Nd Ave Ste 5
City
Moline
State
Illinois
Zip
61265-6368
Phone Number
309-786-3700
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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