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Centerwell Certified Healthcare Corp.
Home Health Agency in San Luis Obispo, California
NPI 1861428567

Centerwell Certified Healthcare Corp. is a Home Health Agency based in Overland Park, CA. Centerwell Certified Healthcare Corp. practices in San Luis Obispo, CA. The NPI Number for Centerwell Certified Healthcare Corp. is 1861428567 and holds a License No. (California).

The current practice location address for Centerwell Certified Healthcare Corp. is 805 Aerovista Pl Ste 204, San Luis Obispo, CA and can be reached out via phone at 440-280-5544.

Location: 805 Aerovista Pl Ste 204, San Luis Obispo, CA, 66211-1171
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861428567
Provider Name
Centerwell Certified Healthcare Corp.
Credential
Provider Entity Type
Organization
Address
805 Aerovista Pl Ste 204, San Luis Obispo, CA, 66211-1171
Phone Number
440-280-5544
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
050000095 01 CA-COMMERCIAL NUMBER
564457 01 CA-COMMERCIAL NUMBER
05-7203 01 CA-COMMERCIAL NUMBER
ZZZ35475Z 01 CA-BLUE SHIELD
5868461 01 CA-COMMERCIAL NUMBER
013100P 01 CA-COMMERCIAL NUMBER
057203 01 CA-COMMERCIAL NUMBER
HHA07203G 05 CA
106825020 01 CA-COMMERCIAL NUMBER
ANC015 01 CA-COMMERCIAL NUMBER
GA0592 01 CA-COMMERCIAL NUMBER
05-7203 01 CA-BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
805 Aerovista Pl Ste 204
City
San Luis Obispo
State
California
Zip
93401-7920
Phone Number
440-280-5544
Fax Number
person
Provider Business Mailing Address Details
Address
805 Aerovista Pl Ste 204
City
San Luis Obispo
State
California
Zip
93401-7920
Phone Number
440-280-5544
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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