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CENTERWELL CERTIFIED HEALTHCARE CORP.

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Company Details

Legal Name: CENTERWELL CERTIFIED HEALTHCARE CORP.
Jurisdiction: WASHINGTON
Entity Type: FOREIGN PROFIT CORPORATION
Category: FOREIGN ENTITY
Status: Active
Formation/ Registration Date: February 11th 2008
Expiration date: 28 Feb 2026
Branch of: CENTERWELL CERTIFIED HEALTHCARE CORP., KENTUCKY (Company Number 0307574)
UBI Number: 601 758 647
Home State: KENTUCKY
Principal Office Street Address: Google Maps Logo 500 WEST MAIN STREET, LOUISVILLE, KY, 40202, UNITED STATES

Contact Details

E-Mail: CLS-CTARMSEVIDENCE@WOLTERSKLUWER.COM
Phone Number: +1 877-888-1245

Nature of Business

HEALTH CARE SERVICES

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Registered Agent Information

Name Role
C T CORPORATION SYSTEM Registered Agent

Key Officers & Management

Name Role
DOUGLAS ALLEN EDWARDS Governing Person
JOHN WHITNEY NICHOLS Governing Person
JOSEPH MATTHEW RUSCHELL Governing Person
DANIEL KEVIN FELD Governing Person
LLOYD KIRK ALLEN Governing Person
SUSAN MARIE DIAMOND Governing Person
ROBERT MARTIN MARCOUX, JR. Governing Person

National Provider Identifier

NPI Number:
1265789820
Certification Date:
2024-05-14
Link:
View on NPI website

Authorized Person:

Name:
JOHN NICHOLS
Role:
AUTHORIZED SIGNATORY
Phone:
5094734900

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

Phone:
+1 509-473-4900

History

Type Old value New value Date of change
Name change GENTIVA CERTIFIED HEALTHCARE CORP. CENTERWELL CERTIFIED HEALTHCARE CORP. 2023-05-24

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500 WEST MAIN STREET, LOUISVILLE, KY, 40202, UNITED STATES

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