NPIMap

Organization Active NPI

Centerwell Health Services (Certified), Inc.

Doing business as Centerwell Home Health

  • Home Health Agency
  • Daytona Beach, FL
National Provider Identifier
1114955713
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CENTERWELL HEALTH SERVICES (CERTIFIED), INC.
Doing business as
Centerwell Home Health
Practice address
1737 N Clyde Morris Blvd Ste 110
Daytona Beach, FL 32117-5534
Phone
(386) 274-1088
NPI assigned
Jun 30, 2006
Last updated
Aug 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 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

1737 N Clyde Morris Blvd Ste 110
Daytona Beach, FL 32117-5534

Mailing address

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

Other practice location 1

929 N Spring Garden Ave Ste 100
Deland, FL 32720-0838
Phone (386) 736-9224

Other identifiers 14

IdentifierTypeStateIssuer
112645333OtherG2
027154301MedicaidFL
095190OtherG2
1016435OtherG2
113414024GOtherG2
2196642OtherG2
107338OtherG2
11-3414024OtherG2
107937315OtherG2
146544OtherG2
013100POtherG2
2117426OtherG2
00011327202OtherG2
080053OtherG2

Other names 1

  • CENTERWELL HOME HEALTH Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070130000651 FL Part A Provider - Home Health Agency 8527976877 Practice locations: Daytona Beach, FL; Deland, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114955713. Details of each certification follow.

Home health agency certification: CCN 107338A

Legal name
CENTERWELL HEALTH SERVICES CERTIFIED, INC.
Doing business as
CENTERWELL HOME HEALTH
Organization structure
CorporationProprietary
Incorporated
Sep 29, 1998 in DE
Enrollment address
1737 N Clyde Morris Blvd
Ste 110
Daytona Beach, FL 32117-5534

Other NPIs with the same Medicare PAC ID 18

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

View all 18

Care Compare: Home health agency

Medicare Care Compare
Listed as
Centerwell Home HealthCCN 107338
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Jul 19, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

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
10D0916217Centerwell Health Services (Certified) Inc1737 N Clyde Morris Blvd Ste 110, Daytona Beach, FL 32117Certificate of waiverJun 17, 2028

National Provider Directory

National Provider Directory
Tax ID family
Centerwell Health Services Certified Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

1717 N Clyde Morris Blvd
Ste 140
Daytona Beach, FL 32117
Phone (386) 257-2672

1737 N Clyde Morris Blvd
Ste 110
Daytona Beach, FL 32117
Phone (386) 274-1088

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

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
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
John W Nichols Individual Corporate OfficerAuthorized Signatory, Lic & Cert Mar 1, 2022
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%
Douglas a Edwards Individual Corporate OfficerSVP, Workplace Experience Mar 1, 2022
Centerwell Health Services Inc Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Mar 10, 2000 100%
Joseph M Ruschell Individual Corporate OfficerAvp, Asst Gen CNSL & Corp Sec Mar 1, 2022
Corporate DirectorBoard Member Mar 1, 2022
Tawnya Calkins Individual W-2 Managing EmployeeAd; Mar 15, 2024
Susan M Diamond Individual Corporate OfficerChief Financial Officer Mar 1, 2022
Corporate DirectorBoard Member Mar 1, 2022

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 89

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

View all 89

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1114955713",
    "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": "1737 N CLYDE MORRIS BLVD STE 110",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175534",
            "telephone_number": "386-274-1088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "929 N Spring Garden Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Deland",
            "state": "FL",
            "postal_code": "327200838",
            "country_code": "US",
            "telephone_number": "386-736-9224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTERWELL HEALTH SERVICES (CERTIFIED), INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "112645333",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027154301",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "095190",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "1016435",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "113414024G",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "2196642",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "107338",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "11-3414024",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "107937315",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "146544",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "013100P",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "2117426",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "00011327202",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "080053",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTERWELL HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.