Active NPI
Centerwell Certified Healthcare Corp.
- Home Health Agency
- Racine, WI
National Provider Identifier
1225064934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CENTERWELL CERTIFIED HEALTHCARE CORP.
- Doing business as
- CenterWell Home Health
- Practice address
- 6233 Bankers Road
Suite 1
Racine, WI 53403-9700 - Phone
- (262) 636-9036
- NPI assigned
- Jun 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Nichols
- Title
- Authorized Signatory
- Phone
- (262) 636-9036
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
6233 Bankers Road
Suite 1
Racine, WI 53403-9700
Mailing address
6330 Sprint Pkwy Ste 300
Overland Park, KS 66211-1157
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41506200 | Medicaid | WI |
Other names 1
- CenterWell Home Health
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapy Assistant
- Mount Pleasant, WI
- NPI 1881394864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698105600000",
"number": "1225064934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6330 SPRINT PKWY STE 300",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6233 BANKERS ROAD",
"address_2": "SUITE 1",
"city": "RACINE",
"state": "WI",
"postal_code": "534039700",
"telephone_number": "262-636-9036"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTERWELL CERTIFIED HEALTHCARE CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-24",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A",
"authorized_official_last_name": "NICHOLS",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "AUTHORIZED SIGNATORY",
"authorized_official_telephone_number": "262-636-9036"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41506200",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CenterWell Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Racine, WI
- Veronica Carver, MD
- Mallory Casey, M.S.CCC-SLP
- Catholic Charities of the Archdiocese of Milwaukee Inc
- Catholic Charities of the Archdiocese of Milwaukee Inc
- Randall C. Cech, RN
- Gina Marie Cerminara, LPC
- Chad Novasic PT LTD
- Neetu Chakravarti, M.D.
- Dewita Latrice Chambers, LPN
- Amy Sprague Champeau, MS, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.