Provider Demographics
NPI:1205818846
Name:CENTERWELL HEALTH SERVICES USA, LLC
Entity type:Organization
Organization Name:CENTERWELL HEALTH SERVICES USA, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT , HOME HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:KIRK
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-580-1069
Mailing Address - Street 1:6330 SPRINT PARKWAY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1157
Mailing Address - Country:US
Mailing Address - Phone:913-814-2206
Mailing Address - Fax:913-814-2029
Practice Address - Street 1:2901 OHIO BLVD STE 210-1
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47803-2239
Practice Address - Country:US
Practice Address - Phone:812-232-0725
Practice Address - Fax:812-232-4430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-18
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
IN9753251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100265830AMedicaid
IN100265830AMedicaid