| Name: | CenterWell Certified Healthcare Corp. |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Corporation |
| Status: | Exists |
| Date of registration: | 19 Apr 1983 (42 years ago) (Companies founded in April 1983) |
| Entity Number: | 000-903-490 |
| Register Number: | 000903490 |
| Historical Names: |
Olsten Certified HealthCare Corp.
Gentiva Certified HealthCare Corp. |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Delaware |
| Principal Address: | 1209 ORANGE STREETWILMINGTON, DE 19801 |
| Registered Office Street Address: | 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457587404 | 2009-06-04 | 2023-10-12 | 6330 SPRINT PKWY STE 300, OVERLAND PARK, KS, 662111157, US | 114 N ACADEMY AVE, BUTLER, AL, 369042206, US | |||||||||||||||||||
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| Phone | +1 251-843-2808 |
Authorized person
| Name | JOHN NICHOLS |
| Role | AUTHORIZED SIGNATORY |
| Phone | 2518432808 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 118177 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2023-05-26 | Name Change | Gentiva Certified HealthCare Corp. | CenterWell Certified Healthcare Corp. |
| 2001-05-14 | Name Change | Olsten Certified HealthCare Corp. | Gentiva Certified HealthCare Corp. |
| 1996-03-20 | Name Merged | No data | AMERICAN HOME HEALTH CARE, INC. (GA-NQ) Non-Qualified Foreign Into Qualified |
| 1996-03-20 | Name Merged | No data | SALUS SERVICES, INC. (DE-NQ) Non-Qualified Foreign Into Qualified |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
