NPIMap

Organization Active NPI

Centerwell Certified Healthcare Corp.

  • Home Health Agency
  • Roanoke, VA
National Provider Identifier
1124059688
Registry record updated Aug 20, 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
5238 Valleypointe Pkwy Ste 1B
Roanoke, VA 24019-3066
Phone
(540) 362-7578
Fax
(540) 362-8150
NPI assigned
Jul 5, 2006
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 Primary

Addresses

Primary practice location

5238 Valleypointe Pkwy Ste 1B
Roanoke, VA 24019-3066

Mailing address

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

Other practice location 1

15 W Main St Ste 200
Christiansburg, VA 24073-2998
Phone (540) 382-9311

Other identifiers 17

IdentifierTypeStateIssuer
2118448OtherG2
227654OtherG2
600055OtherG2
1014588OtherG2
113414024GOtherG2
0003302145OtherG2
8750165MedicaidVA
004974298MedicaidVA
7049027OtherG2
004947371MedicaidVA
008750165MedicaidVA
008700630MedicaidVA
008771286MedicaidVA
1124059688MedicaidVA
42706-30OtherG2
497429OtherG2
ANCO15OtherG2

Other names 1

  • CenterWell Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050513000330 VA Part A Provider - Home Health Agency 7618884529 Practice locations: Roanoke, VA; Christiansburg, VA

Home health agency certification: CCN 497429

Legal name
CENTERWELL CERTIFIED HEALTHCARE CORP
Doing business as
CENTERWELL HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 4, 1989
Last certification
Dec 4, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 19, 1983 in DE
Enrollment address
5238 Valleypointe Pkwy
Ste 1B
Roanoke, VA 24019-3066

National Provider Directory

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

Locations

1302 Plantation Rd NE
Roanoke, VA 24012

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Courtney D Durall Individual Corporate OfficerSecretary Sep 5, 2025
Celeste Mellet Individual Corporate OfficerChief Financial Officer Jan 15, 2026
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%
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%
Onika J. Samuel Individual W-2 Managing EmployeeAd; Nov 5, 2024
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%
Sean Turner Individual Corporate OfficerVP Revenue Cycle Mar 17, 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

Affiliated clinicians 158

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

View all 158

Care Compare: Home health agency

Medicare Care Compare
Listed as
Centerwell Home HealthCCN 497429
Overall star rating
4 of 5
Ownership
Proprietary
Certified
May 4, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1124059688",
    "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": "5238 VALLEYPOINTE PKWY STE 1B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240193066",
            "telephone_number": "540-362-7578",
            "fax_number": "540-362-8150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 W Main St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Christiansburg",
            "state": "VA",
            "postal_code": "240732998",
            "country_code": "US",
            "telephone_number": "540-382-9311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTERWELL CERTIFIED HEALTHCARE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
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            "desc": "Other (non-Medicare)",
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            "state": null
        },
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            "identifier": "227654",
            "state": null
        },
        {
            "code": "01",
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            "issuer": "G2",
            "identifier": "600055",
            "state": null
        },
        {
            "code": "01",
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            "issuer": "G2",
            "identifier": "1014588",
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        },
        {
            "code": "01",
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            "issuer": "G2",
            "identifier": "113414024G",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "0003302145",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8750165",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004974298",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "7049027",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004947371",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008750165",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008700630",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008771286",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124059688",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "42706-30",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "497429",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "ANCO15",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CenterWell Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.