NPIMap

Organization Active NPI

Centerwell Certified Healthcare Corp.

  • Home Health Agency
  • Duluth, MN
National Provider Identifier
1003848375
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CENTERWELL CERTIFIED HEALTHCARE CORP.
Practice address
4602 Grand Ave Ste 300
Duluth, MN 55807-2777
Phone
(218) 723-8999
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sean Patrick Turner
Title
VP Revenue Cycle
Phone
(810) 360-3133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4602 Grand Ave Ste 300
Duluth, MN 55807-2777

Mailing address

PO Box 1509
Louisville, KY 40201-1509

Other identifiers 13

IdentifierTypeStateIssuer
169027MedicaidMN
247241OtherMN-COMMERCIAL NUMBER
4117KIMedicaidMN
5900031OtherMN-COMMERCIAL NUMBER
GA0785OtherMN-COMMERCIAL NUMBER
169027OtherMN-COMMERCIAL NUMBER
013100POtherMN-COMMERCIAL NUMBER
023355200MedicaidMN
4117KIOtherMN-COMMERCIAL NUMBER
991234OtherMN-COMMERCIAL NUMBER
ANC015OtherMN-COMMERCIAL NUMBER
5900031MedicaidMN
109673OtherMN-COMMERCIAL NUMBER

Other names 1

  • CenterWell Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060412000131 MN Part A Provider - Home Health Agency 7618884529 Practice locations: Duluth, MN

Home health agency certification: CCN 247241

Legal name
CENTERWELL CERTIFIED HEALTHCARE CORP
Doing business as
CENTERWELL HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 10, 1987
Last certification
Jan 14, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 19, 1983 in DE
Enrollment address
11 E Superior St
Ste 508
Duluth, MN 55802-3014

Care Compare: Home health agency

Medicare Care Compare
Listed as
Centerwell Home HealthCCN 247241
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Dec 10, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D0711551Centerwell Certified Healthcare Corp11 East Superior Street Suite 508, Duluth, MN 55802Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Centerwell Certified Healthcare Corp65 organizations share this tax ID, including this one

Locations

4602 Grand Ave
Ste 300
Duluth, MN 55807

925 E Superior St
Ste 104
Duluth, MN 55802
Phone (218) 723-8999

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joseph Johnson Individual W-2 Managing Employee Apr 17, 2025
Daniel K Feld Individual Corporate OfficerVice President, Tax Apr 1, 2024
Lloyd K Allen Individual Corporate OfficerPresident, Home Health Apr 1, 2024
Corporate DirectorBoard Member Apr 1, 2024
Kentucky Homecare Parent Inc. Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Robert M Marcoux Individual Corporate OfficerVice President & Treasurer Apr 1, 2024
Kentucky Homecare Holdings, Inc. Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Amy L Zacher Individual W-2 Managing EmployeeAdministrator Apr 15, 2022
Centerwell Health Services Holding Corp Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Direct Ownership Interest Sep 30, 1999 100%
Humana Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 17, 2021 100%
Centerwell Health Services Inc Organization, Louisville, KY Corporation, Holding company, For-profit, Chain home office 5% Or Greater Indirect Ownership Interest Mar 10, 2000 100%
Joseph M Ruschell Individual Corporate OfficerAvp, Asst GC and Corp Secretary Mar 1, 2022
Corporate DirectorBoard Member Mar 1, 2022
Sean Turner Individual Corporate OfficerVP, Revenue Cycle Apr 17, 2025
Jaclyn Michelle Murphree Individual Corporate OfficerChief Financial Officer Jan 11, 2025
Corporate DirectorBoard Member Jan 11, 2025

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Centerwell Home HealthOverland Park, KS, CCN 177179 Home health agency 5% Or Greater Direct Ownership Interest Jun 26, 2024
Centerwell Home HealthFlowood, MS, CCN 257126 Home health agency 5% Or Greater Direct Ownership Interest (100%) Feb 29, 2008
Centerwell Home HealthHazlehurst, MS, CCN 257304 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Feb 29, 2008
Centerwell Home HealthTupelo, MS, CCN 257303 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Feb 29, 2008
Centerwell Home HealthColumbus, MS, CCN 257110 Home health agency 5% Or Greater Direct Ownership Interest (100%) Feb 29, 2008
Centerwell Home HealthBruce, MS, CCN 257309 Home health agency 5% Or Greater Direct Ownership Interest (100%) Feb 29, 2008
Centerwell Home HealthColorado Springs, CO, CCN 067129 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2008

Facilities with the same owner 191

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 191

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 53

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 53

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1003848375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1509",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402011509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 GRAND AVE STE 300",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558072777",
            "telephone_number": "218-723-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERWELL CERTIFIED HEALTHCARE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "VP REVENUE CYCLE",
        "authorized_official_telephone_number": "810-360-3133"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169027",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN-COMMERCIAL NUMBER",
            "identifier": "247241",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4117KI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN-COMMERCIAL NUMBER",
            "identifier": "5900031",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN-COMMERCIAL NUMBER",
            "identifier": "GA0785",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN-COMMERCIAL NUMBER",
            "identifier": "169027",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN-COMMERCIAL NUMBER",
            "identifier": "013100P",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023355200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN-COMMERCIAL NUMBER",
            "identifier": "4117KI",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN-COMMERCIAL NUMBER",
            "identifier": "991234",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN-COMMERCIAL NUMBER",
            "identifier": "ANC015",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900031",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN-COMMERCIAL NUMBER",
            "identifier": "109673",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CenterWell Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.