Centerwell Home Health

LBN: Centerwell Certified Healthcare Corp.
Centerwell Home Health is an health care organization with primary practice located at 4401 Masthead St Ne Ste 105 , Albuquerque NM 87109-4682. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Centerwell Certified Healthcare Corp. can be contacted via phone (505) 345-3754, or through Nichols, John W via phone (505) 345-3754.

Contact Information

Primary practice address
4401 Masthead St Ne Ste 105 Albuquerque NM 87109-4682
Fax:
Website:
Authorized official contact:
Name: Nichols, John W

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1295761997
LBN Legal business name Centerwell Certified Healthcare Corp.
DBA Doing business as Centerwell Home Health
Authorized official Nichols, John W
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2006
Last updated Nov 30th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295761997 NPPES
New Mexico MEDICAID 000A8575
New Mexico MEDICAID 000F1512
New Mexico Other 327070
New Mexico Other 60-03419
New Mexico Other 112207
New Mexico Other 28689
New Mexico Other 827390
New Mexico Other 013100P
New Mexico Other 54826
New Mexico Other 8413-90
New Mexico Other ANC015
New Mexico MEDICAID 0000N1425
New Mexico Other 146544
New Mexico Other 565800
New Mexico Other 689703
New Mexico MEDICAID N1425
New Mexico Other 300066102

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