CENTERWELL HOME HEALTH
NPI 1669406377
Home Health in Lake City, FL

Active since July 10, 2006CLIA 10D0678185 · Waiver
419 SW STATE ROAD 247 STE 109, LAKE CITY, FL 32025(386) 758-3490 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 8, 2023, Sep 4, 2022, Aug 27, 2021 (3 updates tracked since 2021).

About Centerwell Home Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTERWELL HOME HEALTH (NPI 1669406377) is a healthcare organization registered as a home health in Lake City, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists John Nichols, Authorized Signatory, as its authorized official.

NPPES Registry Identity

NPI1669406377
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameCENTERWELL HEALTH SERVICES (CERTIFIED), INC.
Location Address419 SW STATE ROAD 247 STE 109Lake City, FL 32025-8318
Mailing Address6330 Sprint Pkwy Ste 300Overland Park, KS 66211-1157
Organization SubpartNo
Authorized OfficialJohn NicholsAuthorized Signatory · (386) 758-3490
Enumeration DateJuly 10, 2006
Last NPPES UpdateDecember 8, 20233 updates tracked since enumeration
NPPES CertifiedDecember 8, 2023
NPI 1669406377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

419 SW STATE ROAD 247 STE 109, Lake City, FL 32025

Other Names 1

Doing Business AsCenterwell Home Health

Other Identifiers 17

Other146544G2
Other2117440G2
Other11-3414024G2
Other249710G2
Other7342031G2
Other013100PG2
Other070415G2
Other095190G2
Other107420G2
Other689825G2
Other080053G2
Other112645333G2
Other4354591a
Other6000055G2
Other1016443G2
Other113414024G2
Other79298G2

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0678185

Centerwell Health Services · Lake City, FL
Active · expires Aug 31, 2026
CLIA Number10D0678185
Laboratory TypeHome Health Agency
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorShawna Sparks
Laboratory Phone(386) 758-3490
Laboratory LocationCenterwell Health Services419 SW Sr 247 Ste 109, Lake City, FL 32025
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centerwell Health Services (certified), Inc.'s NPI number?

The NPI number for Centerwell Health Services (certified), Inc. is 1669406377. It was assigned to this organization in the NPPES registry on July 10, 2006. The provider is doing business as Centerwell Home Health.

Where is Centerwell Health Services (certified), Inc. located?

Centerwell Health Services (certified), Inc. is located at 419 SW State Road 247 Ste 109, Lake City, FL 32025. The listed phone number is (386) 758-3490.

What is Centerwell Health Services (certified), Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Centerwell Health Services (certified), Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0678185) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centerwell Health Services (certified), Inc. was last updated on December 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.