| Name: | CenterWell Health Services (Certified), Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Corporation |
| Status: | Exists |
| Date of registration: | 29 Sep 1998 (26 years ago) |
| Entity Number: | 000-912-791 |
| Register Number: | 000912791 |
| Historical Names: |
Olsten Health Services (certified), Inc.
Gentiva Health Services (Certified), Inc. |
| ZIP code: | 36104 |
| County: | Montgomery |
| Place of Formation: | Delaware |
| Principal Address: | 3350 RIVERWOOD PARKWAY SUITE 1400ATLANTA, GA 30339 |
| Registered Office Street Address: | 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730118621 | 2006-07-02 | 2023-12-29 | 6330 SPRINT PKWY STE 300, OVERLAND PARK, KS, 662111157, US | 1512 E THREE NOTCH ST, ANDALUSIA, AL, 364203454, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 334-222-2172 |
Authorized person
| Name | JOHN NICHOLS |
| Role | AUTHORIZED SIGNATORY |
| Phone | 3342222172 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | G2 |
| Number | 07958 |
| Issuer | G2 |
| Number | 1020846 |
| Issuer | G2 |
| Number | 112645333 |
| Issuer | G2 |
| Number | 51041146 |
| Issuer | G2 |
| Number | 600055 |
| Issuer | G2 |
| Number | 79298 |
| Issuer | G2 |
| Number | 6000048 |
| Issuer | MEDICAID |
| Number | GEN7121A |
| State | AL |
| Issuer | G2 |
| Number | 017121 |
| Issuer | G2 |
| Number | 3722 |
| State | AL |
| Issuer | G2 |
| Number | 7349528 |
| Issuer | G2 |
| Number | 4546469 |
| Issuer | G2 |
| Number | 689825 |
| Issuer | 1H |
| Number | 112645333071 |
| Issuer | G2 |
| Number | 2352450 |
| Issuer | G2 |
| Number | 07956 |
| Issuer | 1H |
| Number | 112645333081 |
| Issuer | G2 |
| Number | 51526122 |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2023-04-17 | Name Change | Gentiva Health Services (Certified), Inc. | CenterWell Health Services (Certified), Inc. |
| 2001-05-14 | Name Change | Olsten Health Services (certified), Inc. | Gentiva Health Services (Certified), Inc. |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
