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 Issuer
1	827390	OTHER	G2
2	112135	OTHER	G2
3	19001	OTHER	G2
4	79298	OTHER	G2
5	GA2202	OTHER	G2
6	106825038	OTHER	G2
7	113414024G	OTHER	G2
8	52655785	OTHER	G2
9	7803376	OTHER	G2
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	1016875	OTHER	G2
12	2886106	OTHER	G2
13	146544	OTHER	G2
14	510-07956	OTHER	G2
15	ANC015	OTHER	G2

General Provider Information

NPI Number	:	1891725693
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	:	1303 HIGHTOWER TRL
Second Line	:	SUITE 105
City	:	ATLANTA
State	:	GA
Zip	:	30350-2919
Country	:	US
Telephone Number	:	770-998-1393
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED SIGNATORY
Name	:	JOHN NICHOLS
Credential	:
Telephone Number	:	770-998-1393

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	02/15/2024

Similar Medicare Providers

1043257934 — VISTACARE USA, LLC
Practice Location Address:

1303 HIGHTOWER TRL STE 100
ATLANTA, GA
30350-2919

Practice Phone: 770-952-5574
Practice Fax: 770-952-5575

1407863707 — GEORGE M CIBIK M.D.
Practice Location Address:

6300 POWERS FERRY RD NW STE 600-334
ATLANTA, GA
30339-2919

Practice Phone: 770-862-0557
Practice Fax: 770-951-5641

1134483613 — ANNA JACKSON BCBA
Practice Location Address:

3966 ATLANTA HWY , STE 375
MONTGOMERY, AL
36109-2919

Practice Phone: 855-832-6727
Practice Fax:

1336590975 — TOTAL WELLNESS SOLUTIONS
Practice Location Address:

6300 POWERS FERRY RD , SUITE 600-203
ATLANTA, GA
30339-2919

Practice Phone: 404-664-1028
Practice Fax: 866-979-4272

1962938548 — BRIDGETTE SMART
Practice Location Address:

2919 HERRON LN SW
ATLANTA, GA
30349-1501

Practice Phone: 404-343-3988
Practice Fax:

1790336006 — MS. KAMEKO EDGECOMBE BURDINE CAA
Practice Location Address:

6300 POWERS FERRY RD STE 600-236
ATLANTA, GA
30339-2919

Practice Phone: 305-810-9880
Practice Fax:

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.