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

805 Aerovista PL Ste 204
San Luis Obispo, CA 93401-7920

Phone

(440) 280-5544

NPI assigned

Jun 24, 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

(805) 544-4402

Specialties & licenses 1

Addresses

Other identifiers 12

Other names 1

• CenterWell Home Health Doing business as

Listed as

Centerwell Home HealthCCN 057203

Ownership

Proprietary

Certified

Mar 6, 1978

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Centerwell Certified Healthcare Corp.

  dba Centerwell Home Health

  • Home Health Agency
  • Sylacauga, AL
  • NPI 1275564437

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1861428567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 SPRINT PKWY STE 400",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 AEROVISTA PL STE 204",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017920",
            "telephone_number": "440-280-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERWELL CERTIFIED HEALTHCARE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "AUTHORIZED SIGNATORY",
        "authorized_official_telephone_number": "805-544-4402"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA-COMMERCIAL NUMBER",
            "identifier": "050000095",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA-COMMERCIAL NUMBER",
            "identifier": "564457",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA-COMMERCIAL NUMBER",
            "identifier": "05-7203",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA-BLUE SHIELD",
            "identifier": "ZZZ35475Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA-COMMERCIAL NUMBER",
            "identifier": "5868461",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA-COMMERCIAL NUMBER",
            "identifier": "013100P",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA-COMMERCIAL NUMBER",
            "identifier": "057203",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA07203G",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA-COMMERCIAL NUMBER",
            "identifier": "106825020",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA-COMMERCIAL NUMBER",
            "identifier": "ANC015",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA-COMMERCIAL NUMBER",
            "identifier": "GA0592",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA-BLUE CROSS",
            "identifier": "05-7203",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CenterWell Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Breanna Ceballos
• Leonard A. Cedars, M.D.
• Gayle S Cekada, M.D
• Susan Celli
• Carrie Cembellin
• Central Coast Chest Consultants a Medical Corporation (Central Coast Chest Consultants Medical Corporation)
• Central Coast Ear Nose and Throat Associates
• Central Coast Employee Assistance & Counseling Services
• Central Coast Eye Associates Inc
• Central Coast Eye Surgery, Inc., a Professional Medical Corporation

• Home Health Agency in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.