NPIMap

Organization Active NPI

QC-Medi New York, Inc.

Doing business as CenterWell Home Health

  • Home Health Agency
  • Ballston Lake, NY
National Provider Identifier
1023049830
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
QC-MEDI NEW YORK, INC.
Doing business as
CenterWell Home Health
Practice address
320 Ushers Rd
Ballston Lake, NY 12019-1515
Phone
(518) 899-1158
Fax
(518) 899-7008
NPI assigned
Jul 6, 2006
Last updated
Aug 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 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 NU Primary

Addresses

Primary practice location

320 Ushers Rd
Ballston Lake, NY 12019-1515

Mailing address

PO Box 1509
Louisville, KY 40201-1509
Phone (913) 814-2206

Other identifiers 19

IdentifierTypeStateIssuer
120243OtherG2
112256479OtherG2
1166983OtherG2
000161506OtherG2
335394OtherG2
337401OtherG2
801438OtherG2
000051300170OtherG2
00051303001OtherG2
116529OtherG2
337224OtherG2
00013277202OtherG2
34511OtherG2
01573711MedicaidNY
18618OtherG2
502111OtherG2
7215344OtherG2
020014OtherG2
10002879OtherG2

Other names 1

  • CenterWell Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040216001135 NY Part A Provider - Home Health Agency 3678481660 Practice locations: Ballston Lake, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023049830. Details of each certification follow.

Home health agency certification: CCN 337401

Legal name
QC-MEDI NEW YORK, INC.
Doing business as
CENTERWELL HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 25, 1994
Last certification
Dec 11, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 18, 1985 in NY
Enrollment address
320 Ushers Rd
Ste 1
Ballston Lake, NY 12019-1515

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Centerwell Home HealthCCN 337401 · All quality measures
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Oct 25, 1994
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
33D0872229Centerwell Home Health320 Ushers Road, Suite 1, Ballston Lake, NY 12019Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
QC - Medi New York Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

320 Ushers Rd
Unit 1
Ballston Lake, NY 12019
Phone (518) 899-1158

11849 E Corning Rd
Ste 108
Corning, NY 14830
Phone (607) 962-0102

1393 Veterans Memorial Hwy
Ste 204S
Hauppauge, NY 11788
Phone (631) 232-6030

115 Continuum Dr
Ste 2E
Liverpool, NY 13088
Phone (315) 461-0209

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 EmployeeManager-Licensing & Certification Apr 17, 2025
Daniel K Feld Individual Corporate OfficerAssociate Vice-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%
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 OfficerVP, Assoc Gen CNSL & Corp Sec Mar 1, 2022
Corporate DirectorBoard Member Mar 1, 2022
Aimee Hufford Individual W-2 Managing EmployeeAdministrator Mar 4, 2019
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

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

Affiliated clinicians 51

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

View all 51

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1023049830",
    "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",
            "telephone_number": "913-814-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 USHERS RD",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120191515",
            "telephone_number": "518-899-1158",
            "fax_number": "518-899-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QC-MEDI NEW YORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
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            "desc": "Other (non-Medicare)",
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            "state": null
        },
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        },
        {
            "code": "01",
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            "identifier": "000161506",
            "state": null
        },
        {
            "code": "01",
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            "issuer": "G2",
            "identifier": "335394",
            "state": null
        },
        {
            "code": "01",
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            "issuer": "G2",
            "identifier": "337401",
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        },
        {
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            "identifier": "801438",
            "state": null
        },
        {
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            "issuer": "G2",
            "identifier": "000051300170",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "00051303001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "116529",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "337224",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "00013277202",
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        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "34511",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01573711",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "18618",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "502111",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "7215344",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "020014",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "10002879",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CenterWell Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ballston Lake, NY

Sources for this page

Verify at the official NPI Registry.