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NPI 1205818846

NPI 1205818846 : CENTERWELL HEALTH SERVICES USA, LLC : TERRE HAUTE, IN

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General NPI Number Information
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    NPI Number           |    1205818846
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    Entity Type          |    Organization 
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    Legal Business Name  |    CENTERWELL HEALTH SERVICES USA, LLC 
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Dates
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    Enumeration Date     |    11/18/2005
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    Last Update Date     |    08/05/2025
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Provider Practice Location Address
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    Address Line         |    2901 OHIO BLVD STE 210-1 
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    City                 |    TERRE HAUTE
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    State                |    IN
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    Zip                  |    47803-2239
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    Country              |    US
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    Telephone            |    812-232-0725
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    Fax                  |    812-232-4430
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Provider Business Mailing Address
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    Address Line         |    6330 SPRINT PARKWAY SUITE 300
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    City                 |    OVERLAND PARK
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    State                |    KS
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    Zip                  |    66211-1157
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    Country              |    US
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    Telephone            |    913-814-2206
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    Fax                  |    913-814-2029
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Authorized Official
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    Title or Position    |    PRESIDENT , HOME HEALTH
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    Name                 |     LLOYD KIRK ALLEN 
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    Credential           |    
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    Telephone            |    502-580-1069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    9753
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    License Number State |    IN
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