Centerwell Certified Healthcare Corp.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CENTERWELL CERTIFIED HEALTHCARE CORP.

Doing business as

CenterWell Home Health

Practice address

1065 Highway 315
Suite 301
Wilkes Barre, PA 18702-6941

Phone

(570) 822-0857

NPI assigned

Jul 5, 2006

Organization subpart

No

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

(570) 822-0857

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CenterWell Home Health Doing business as

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1598796161",
    "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": "1065 HIGHWAY 315",
            "address_2": "SUITE 301",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026941",
            "telephone_number": "570-822-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERWELL CERTIFIED HEALTHCARE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "AUTHORIZED SIGNATORY",
        "authorized_official_telephone_number": "570-822-0857"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006932660056",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CenterWell Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Ciara Cavanagh, RN
• Nil Celebi Cherukuri, MD, PHD
• Jeremy Thomas Celestine, M.D.
• Matthew J Cellini, M.D.
• Joseph Michael Cencetti, CLINICAL PHARMACIST
• Century Medical Response Inc.
• Pamela Ann Ceol, PTA
• John Chakan, PHARM D
• Vinaya Chakradeo, M.D
• Srivatsav Challa

• Home Health Agency in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.

Verify at the official NPI Registry.