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Centerwell Certified Healthcare Corp.
Home Health Agency in Stockton, California
NPI 1962434134

Centerwell Certified Healthcare Corp. is a Home Health Agency based in Overland Park, CA. Centerwell Certified Healthcare Corp. practices in Stockton, CA. The NPI Number for Centerwell Certified Healthcare Corp. is 1962434134 and holds a License No. (California).

The current practice location address for Centerwell Certified Healthcare Corp. is 10100 Trinity Pkwy Ste 425, Stockton, CA and can be reached out via phone at 209-474-7881 and via fax at 209-474-2958.

Location: 10100 Trinity Pkwy Ste 425, Stockton, CA, 66211-1157
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962434134
Provider Name
Centerwell Certified Healthcare Corp.
Credential
Provider Entity Type
Organization
Address
10100 Trinity Pkwy Ste 425, Stockton, CA, 66211-1157
Phone Number
209-474-7881
Fax Number
209-474-2958
Provider Enumeration Date
07/07/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
058025 01 CA-COMMERCIAL NUMBER
106825033 01 CA-COMMERCIAL NUMBER
GA0588 01 CA-COMMERCIAL NUMBER
5868461 01 CA-COMMERCIAL NUMBER
ANC015 01 CA-COMMERCIAL NUMBER
114543 01 CA-COMMERCIAL NUMBER
9900542 01 CA-COMMERCIAL NUMBER
HHA08025F 05 CA
013100P 01 CA-COMMERCIAL NUMBER
564478 01 CA-COMMERCIAL NUMBER
030000602 01 CA-COMMERCIAL NUMBER
05-8025 01 CA-COMMERCIAL NUMBER
113414024 01 CA-COMMERCIAL NUMBER
ZZZ57312Z 01 CA-BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
10100 Trinity Pkwy Ste 425
City
Stockton
State
California
Zip
95219-7238
Phone Number
209-474-7881
Fax Number
209-474-2958
person
Provider Business Mailing Address Details
Address
10100 Trinity Pkwy Ste 425
City
Stockton
State
California
Zip
95219-7238
Phone Number
209-474-7881
Fax Number
209-474-2958
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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