NPIMap

Organization Active NPI

Centerwell Health Services (USA), LLC

Doing business as CenterWell Home Health

  • Home Health Agency
  • Beaumont, TX
National Provider Identifier
1285465658
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CENTERWELL HEALTH SERVICES (USA), LLC
Doing business as
CenterWell Home Health
Practice address
1480 Cornerstone CT
Beaumont, TX 77706-3896
Phone
(409) 722-0515
NPI assigned
Aug 8, 2024
Last updated
Aug 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John W Nichols
Title
Authorized Signatory
Phone
(409) 722-0515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1480 Cornerstone CT
Beaumont, TX 77706-3896

Mailing address

1480 Cornerstone CT
Beaumont, TX 77706-3896
Phone (409) 722-0515

Other names 1

  • CenterWell Home Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gentiva Health Services USA LLC18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Locations

1480 Cornerstone Ct
Beaumont, TX 77706
Phone (409) 722-0515

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1285465658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 CORNERSTONE CT",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063896",
            "telephone_number": "409-722-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 CORNERSTONE CT",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063896",
            "telephone_number": "409-722-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERWELL HEALTH SERVICES (USA), LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "AUTHORIZED SIGNATORY",
        "authorized_official_telephone_number": "409-722-0515"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CenterWell Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.