Organization Active NPI

Centerpiece Health Agency LLC

  • Home Health Agency
  • Malvern, PA
National Provider Identifier
1164288965
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
Incorporated
Oct 16, 2023 in PA
Enrollment address
40 Lloyd Ave
Ste 307
Malvern, PA 19355-3072

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
39D2312781Centerpiece Health Agency LLC40 Lloyd Ave, Ste 307, Malvern, PA 19355Certificate of waiverOct 17, 2026

National Provider Directory

National Provider Directory
Tax ID family
Centerpiece Health Agency LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

NameRoleSinceShare
Kennedy Chesoli Individual 5% Or Greater Direct Ownership InterestOwner Oct 16, 2023 50%
Corporate DirectorPresident, Treasurer Oct 16, 2023 50%
W-2 Managing Employee Oct 16, 2023 34%
Okeremute Omene Individual 5% Or Greater Direct Ownership InterestOwner Oct 16, 2023 50%
Corporate DirectorVice President, Secretary Oct 16, 2023 50%
Kamille J Kinsey Individual W-2 Managing EmployeeDirector of Nursing Oct 16, 2023 33%
Jaunita Ndubueze Individual W-2 Managing EmployeeAlternate Administrator 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

Verify at the official NPI Registry.