CENTERWELL HOME HEALTH – NPI #1356370639
Home Health

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.

CENTERWELL HOME HEALTH is a home health agency located in SOUTH CHARLESTON, WV. NPPES has assigned the NPI number 1356370639 to CENTERWELL HOME HEALTH on June 30, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CENTERWELL HOME HEALTH” is a dba name, the actual legal business name for this organization is CENTERWELL CERTIFIED HEALTHCARE CORP.. The primary taxonomy selected by this provider is 251E00000X from the Health Care Provider Taxonomy code set, which is classified as Home Health.

The NPI profile was previously updated about 3 years ago on Nov 01, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTERWELL HOME HEALTH below.

NPI Profile for
CENTERWELL CERTIFIED HEALTHCARE CORP.

NPI Number
1356370639
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTERWELL CERTIFIED HEALTHCARE CORP.
Doing Business As (dba): CENTERWELL HOME HEALTH
Primary location
4825 MACCORKLE AVE SW STE F
SOUTH CHARLESTON, WV 25309-1365
Phone: (304) 346-9667 Fax: (304) 346-9717
Mailing address
6330 SPRINT PKWY STE 300
OVERLAND PARK, KS 66211-1157
Phone: Fax:
Organization Subpart
No
Authorized Official
JOHN NICHOLS
AUTHORIZED SIGNATORY
Phone: (304) 346-9667
Updated
Certification Date
Nov 01, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CENTERWELL HOME HEALTH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherWV-COMMERCIAL NUMBER113414024-03
otherWV-COMMERCIAL NUMBER28689
otherWV-COMMERCIAL NUMBER8413-90
otherWV-COMMERCIAL NUMBER001741773
otherWV-COMMERCIAL NUMBER013100P
otherWV-COMMERCIAL NUMBER600055
otherWV-COMMERCIAL NUMBERANC015
otherWV-COMMERCIAL NUMBER235397
otherWV-COMMERCIAL NUMBER920155
otherWV-COMMERCIAL NUMBER0003019448
otherWV-COMMERCIAL NUMBER2118364
otherWV-COMMERCIAL NUMBER517048
otherWV-COMMERCIAL NUMBER7723012
medicaidWV0005018000
medicaidWV0160941000
medicaidWV5018000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
251E00000X
- Home Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.