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General NPI Number Information
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NPI Number | 1699758722
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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 | 11/22/2005
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 72 STONEBRIDGE SUITE 1
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City | JACKSON
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State | TN
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Zip | 38305-2158
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Country | US
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Telephone | 731-668-9400
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Fax | 731-668-9498
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Provider Business Mailing Address
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Address Line | 6330 SPRINT PKWY STE 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 JR.
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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 | 0000000175
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License Number State | TN
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