Active NPI
Centerpiece Health Agency LLC
- Home Health Agency
- Malvern, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CENTERPIECE HEALTH AGENCY LLC
- Practice address
- 40 Lloyd Ave Ste 307
Malvern, PA 19355-3072 - Phone
- (215) 758-6780
- NPI assigned
- Feb 28, 2024
- Last updated
- Apr 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kennedy Chesoli
- Title
- Owner/President
- Phone
- (215) 758-6780
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
40 Lloyd Ave Ste 307
Malvern, PA 19355-3072
Mailing address
244 Ravenscliff Rd
Wayne, PA 19087-4732
Phone (215) 758-6780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241105003071 | PA | Part A Provider - Home Health Agency | 2567996101 | Practice locations: Malvern, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1164288965. Details of each certification follow.
Home health agency certification: CCN 398402
- Legal name
- CENTERPIECE HEALTH AGENCY LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Feb 9, 2026
- Last certification
- Jan 30, 2026
- Organization structure
- LLC
- Incorporated
- Oct 16, 2023 in PA
- Enrollment address
- 40 Lloyd Ave
Ste 307
Malvern, PA 19355-3072
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2312781 | Centerpiece Health Agency LLC | Certificate of waiver | Oct 17, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Centerpiece Health Agency LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Wayne, PA
- NPI 1851262422
Locations
40 Lloyd Ave
Ste 307
Malvern, PA 19355
Phone (215) 758-6780
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Kennedy Chesoli | 5% Or Greater Direct Ownership Interest | Oct 16, 2023 | 50% |
| Corporate Director | Oct 16, 2023 | 50% | |
| W-2 Managing Employee | Oct 16, 2023 | 34% | |
| Okeremute Omene | 5% Or Greater Direct Ownership Interest | Oct 16, 2023 | 50% |
| Corporate Director | Oct 16, 2023 | 50% | |
| Kamille J Kinsey | W-2 Managing Employee | Oct 16, 2023 | 33% |
| Jaunita Ndubueze | W-2 Managing Employee | Oct 16, 2023 | 33% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714435200000",
"number": "1164288965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "244 RAVENSCLIFF RD",
"city": "WAYNE",
"state": "PA",
"postal_code": "190874732",
"telephone_number": "215-758-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 LLOYD AVE STE 307",
"city": "MALVERN",
"state": "PA",
"postal_code": "193553072",
"telephone_number": "215-758-6780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTERPIECE HEALTH AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-28",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A",
"authorized_official_last_name": "CHESOLI",
"authorized_official_first_name": "KENNEDY",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "215-758-6780"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Malvern, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.