MEDICARE: CENTERWELL CERTIFIED HEALTHCARE CORP.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285899526
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTERWELL CERTIFIED HEALTHCARE CORP.

Provider Business Mailing Address
First Line	:	6330 SPRINT PKWY STE 300
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66211-1157
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4975 LACROSS RD
Second Line	:	SUITE 354
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-6531
Country	:	US
Telephone Number	:	843-744-1191
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED SIGNATORY
Name	:	JOHN NICHOLS
Credential	:
Telephone Number	:	843-744-1191

Provider Enumeration Date	:	07/25/2008
Last Update Date	:	10/12/2023

Similar Medicare Providers

1780849026 — WIREGRASS HOSPICE OF SOUTH CAROLINA, LLC
Practice Location Address:

4975 LACROSS RD STE 200A
NORTH CHARLESTON, SC
29406-6531

Practice Phone: 843-529-3100
Practice Fax:

1528958717 — ROPER SAINT FRANCIS PHYSICIANS NETWORK
Practice Location Address:

4975 LACROSS RD STE 110
NORTH CHARLESTON, SC
29406-6531

Practice Phone: 843-266-3561
Practice Fax: 843-266-3568

1104134063 — MAUREEN MURPHY NORTH PA-C
Practice Location Address:

4975 LACROSS RD STE 110
NORTH CHARLESTON, SC
29406-6531

Practice Phone: 843-797-1941
Practice Fax:

1851687016 — DR. ELIZABETH CHRISTINE ANISIS D.O.
Practice Location Address:

4975 LACROSS RD STE 110
N CHARLESTON, SC
29406-6531

Practice Phone: 843-266-3561
Practice Fax: 843-266-3568

1396286431 — SERENA COBB APRN-FNP
Practice Location Address:

4975 LACROSS RD STE 110
NORTH CHARLESTON, SC
29406-6531

Practice Phone: 843-266-3561
Practice Fax: 843-266-3568

1033769732 — WHITNEY NARAMORE HUFF APRN
Practice Location Address:

4975 LACROSS RD STE 110
NORTH CHARLESTON, SC
29406-6531

Practice Phone: 843-797-1941
Practice Fax: 843-574-1698

Directions to “CENTERWELL CERTIFIED HEALTHCARE CORP. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.