institution
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
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
03/12/2024
tick
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
State
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
State
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
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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