NPI Code Details Logo

NPI 1194707711

NPI 1194707711 : CENTERWELL HEALTH SERVICES USA, LLC : HENDERSON, KY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1194707711
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CENTERWELL HEALTH SERVICES USA, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/18/2005
-----------------------------------------------------
    Last Update Date     |    08/07/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    201 KLUTEY PARK PLAZA 
-----------------------------------------------------
    City                 |    HENDERSON
-----------------------------------------------------
    State                |    KY
-----------------------------------------------------
    Zip                  |    42420-3345
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    270-827-4842
-----------------------------------------------------
    Fax                  |    270-827-8244
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    6330 SPRINT PARKWAY SUITE 300
-----------------------------------------------------
    City                 |    OVERLAND PARK
-----------------------------------------------------
    State                |    KS
-----------------------------------------------------
    Zip                  |    66211-1157
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    913-814-2206
-----------------------------------------------------
    Fax                  |    913-814-2029
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT, HOME HEALTH
-----------------------------------------------------
    Name                 |     LLOYD KIRK ALLEN JR.
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    502-580-1069
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    374U00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Aide
-----------------------------------------------------
    License Number       |    150114
-----------------------------------------------------
    License Number State |    KY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    150114
-----------------------------------------------------
    License Number State |    KY
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.