Centerwell Certified Healthcare Corp.
Organization Active NPI Home Health Agency · Silverdale, WA
NPI 1114958725 · NPPES record last updated Aug 22, 2026
Key facts
- NPI
- 1114958725
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- CENTERWELL CERTIFIED HEALTHCARE CORP.
- Practice address
- 10049 Kitsap Mall Blvd NW Ste 201
Silverdale, WA 98383-8901 - Phone
- (360) 373-6966
- NPI assigned
- Jul 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Sean Patrick Turner
- Title
- VP Revenue Cycle
- Phone
- (810) 360-3133
Corporate family (same tax ID) 7
Facilities with the same owner 191
Affiliated clinicians 69
-
Brad L Andersen, MD
-
Arunas T Banionis, D.O.
-
William M. Bauer, MD
-
Kyle M Bogusz, DO
-
Robert Charles Callahan, D.O.
-
Gabriela Cash, MD, MBA
-
Robert Lee Caulkins, D.O.
-
Tarandeep Singh Chahal, M.D.
-
Tiffin Clegg, MD
-
David R Congdon, MD
-
Sally L Conrad, PA-C
-
Blain A Crandell, MD
-
Arunima Dutta, MD
-
Sally S Fleischman, M.D.
-
William Michael Hall, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Centerwell Home Health
- Overall star rating
- ★★★★☆ 3.5 of 5
- Ownership
- Proprietary
- Certified
- Jan 12, 1996
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D0921392 | Centerwell Home Health | Certificate of waiver | Apr 4, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Home health agency certification: CCN 507106
- Legal name
- CENTERWELL CERTIFIED HEALTHCARE CORP
- Doing business as
- CENTERWELL HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 12, 1996
- Last certification
- Dec 7, 2018
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Apr 19, 1983 in DE
- Enrollment address
- 10049 Kitsap Mall Blvd NW
Ste 201
Silverdale, WA 98383-8901
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Joseph Johnson |
W-2 Managing Employee | Apr 17, 2025 | |
| Daniel K Feld |
Corporate Officer |
Apr 1, 2024 | |
| Lloyd K Allen |
Corporate Officer |
Apr 1, 2024 | |
| Corporate Director |
Apr 1, 2024 | ||
| Kentucky Homecare Parent Inc. |
5% Or Greater Indirect Ownership Interest | Jul 2, 2018 | 100% |
| Robert M Marcoux |
Corporate Officer |
Apr 1, 2024 | |
| Kentucky Homecare Holdings, Inc. |
5% Or Greater Indirect Ownership Interest | Jul 2, 2018 | 100% |
| Centerwell Health Services Holding Corp |
5% Or Greater Direct Ownership Interest | Sep 30, 1999 | 100% |
| Humana Inc |
5% Or Greater Indirect Ownership Interest | Aug 17, 2021 | 100% |
| Dorothy M Pernell |
W-2 Managing Employee |
Feb 15, 2020 | |
| Centerwell Health Services Inc |
5% Or Greater Indirect Ownership Interest | Mar 10, 2000 | 100% |
| Joseph M Ruschell |
Corporate Officer |
Mar 1, 2022 | |
| Corporate Director |
Mar 1, 2022 | ||
| Sean Turner |
Corporate Officer |
Apr 17, 2025 | |
| Jaclyn Michelle Murphree |
Corporate Officer |
Jan 11, 2025 | |
| Corporate Director |
Jan 11, 2025 |
All facility ownership & control disclosures 7
| Facility | Type | Role | Since |
|---|---|---|---|
| Centerwell Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest | Jun 26, 2024 |
| Centerwell Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Feb 29, 2008 |
| Centerwell Home Health |
Home health agency | 5% Or Greater Indirect Ownership Interest (100%) | Feb 29, 2008 |
| Centerwell Home Health |
Home health agency | 5% Or Greater Indirect Ownership Interest (100%) | Feb 29, 2008 |
| Centerwell Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Feb 29, 2008 |
| Centerwell Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Feb 29, 2008 |
| Centerwell Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2008 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060410000602 | WA | Part a Provider - Home Health Agency | 7618884529 | Practice locations: Silverdale, WA |
National Provider Directory
- Tax ID family
- Centerwell Certified Healthcare Corp
Locations
4660 Kitsap Way
#101
Bremerton, WA 98312
10049 Kitsap Mall Blvd NW
Ste 201
Silverdale, WA 98383
Phone (360) 373-6966
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
10049 Kitsap Mall Blvd NW Ste 201
Silverdale, WA 98383-8901
Mailing address
PO Box 1509
Louisville, KY 40201-1509
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013100P | Other | WA-COMMERCIAL NUMBER | |
| 113414024 | Other | WA-COMMERCIAL NUMBER | |
| 321563003 | Other | WA-COMMERCIAL NUMBER | |
| 565800 | Other | WA-COMMERCIAL NUMBER | |
| 1018057 | Other | WA-COMMERCIAL NUMBER | |
| 11-3414024 | Other | WA-COMMERCIAL NUMBER | |
| 300066152 | Other | WA-COMMERCIAL NUMBER | |
| 651-YI | Other | WA-COMMERCIAL NUMBER | |
| 135181 | Other | WA-COMMERCIAL NUMBER | |
| 235394 | Other | WA-COMMERCIAL NUMBER | |
| 321563001 | Other | WA-COMMERCIAL NUMBER | |
| 9041609 | Medicaid | WA | |
| 2223178 | Other | WA-COMMERCIAL NUMBER | |
| 7271048 | Other | WA-COMMERCIAL NUMBER | |
| 507106 | Other | WA-COMMERCIAL NUMBER | |
| 9041591 | Medicaid | WA | |
| 1173 | Other | WA-BLUE CROSS |
Other names
- CenterWell Home Health
Other providers in Silverdale, WA
- Megan Alissa Case
- Lydia Elizabeth Castillo
- Leah Mae Bundang Cathey
- Carolynn McConkey Caughie
- Erynn Colleen Caves
- Central Kitsap Fire & Rescue 1
- Central Kitsap School District
- Cep America - Neurology PC
- Samantha Cerna
- Nathan Blake Chadwick
All providers in Silverdale, WA · Home Health Agency in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.