Provider Demographics
NPI:1164406484
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
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 1:230 CHARWOOD DR STE B
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24210-2566
Practice Address - Country:US
Practice Address - Phone:276-623-0665
Practice Address - Fax:276-623-0885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-30
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010095182Medicaid
VA497456Medicare Oscar/Certification