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Centerwell Certified Healthcare Corp

Home Health Agency in Petaluma, CA · enumerated 2006 · authorized official John Nichols, Authorized Signatory.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1700813615

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Registry record

Entity type Organization (Type 2)
Legal business name Centerwell Certified Healthcare Corp
Other name <Unavail>
Practice address 5341 Old Redwood Hwy Ste 350, Petaluma, CA, 94954
Enumeration date Jun 27, 2006
Last updated in NPPES Oct 26, 2023

Taxonomy & classification

251E00000X Home Health Agency Agencies Primary

Authorized official

Name John Nichols
Title Authorized Signatory

Other identifiers

Identifier Type State Issuer
ZZZ34072Z Other - CA-BLUE SHIELD
05-7036 Other - CA-COMMERCIAL NUMBER
010000084 Other - CA-COMMERCIAL NUMBER
333724 Medicaid CA -
520121 Other - CA-COMMERCIAL NUMBER
11-3414024 Other - CA-COMMERCIAL NUMBER
564478 Other - CA-COMMERCIAL NUMBER
5868461 Other - CA-COMMERCIAL NUMBER
057036 Other - CA-COMMERCIAL NUMBER
ZZR07036H Medicaid CA -
013100P Other - CA-COMMERCIAL NUMBER
106825024 Other - CA-COMMERCIAL NUMBER
113414024 Other - CA-COMMERCIAL NUMBER
565800 Other - CA-COMMERCIAL NUMBER
GA0699 Other - CA-COMMERCIAL NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Centerwell Certified Healthcare Corp?
NPPES lists John Nichols (Authorized Signatory) as the authorized official for this organization.
What is the NPI number for Centerwell Certified Healthcare Corp?
The NPI for Centerwell Certified Healthcare Corp is 1700813615, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-10-26.