NPIMap

Organization Active NPI

Centerwell Certified Healthcare Corp.

Doing business as CenterWell Home Health

  • Home Health Agency
  • West Springfield, MA
National Provider Identifier
1215968391
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CENTERWELL CERTIFIED HEALTHCARE CORP.
Doing business as
CenterWell Home Health
Practice address
95 Elm St Ste 100
West Springfield, MA 01089-2595
Phone
(413) 733-1132
NPI assigned
Jul 6, 2006
Last updated
Dec 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Nichols
Title
Authorized Signatory
Phone
(413) 733-1132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

95 Elm St Ste 100
West Springfield, MA 01089-2595

Mailing address

6330 Sprint Pkwy Ste 300
Overland Park, KS 66211-1157

Other identifiers 17

IdentifierTypeStateIssuer
120243OtherG2
801438OtherG2
ANC015OtherG2
235397OtherG2
15047OtherG2
651-YIOtherG2
1020037OtherG2
3267811OtherG2
227224OtherG2
111168OtherG2
60-03419OtherG2
60-00179OtherG2
0008212OtherG2
013100POtherG2
1020036OtherG2
110024326PMedicaidMA
520121OtherG2

Other names 1

  • CenterWell Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021226000012 MA Part A Provider - Home Health Agency 7618884529 Practice locations: West Springfield, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215968391. Details of each certification follow.

Home health agency certification: CCN 227224

Legal name
CENTERWELL CERTIFIED HEALTHCARE CORP
Doing business as
CENTERWELL HOME HEALTH
Certification status
Terminated Voluntary: merger or closure, Mar 1, 2026
Provider type (POS)
Home health agency
Participating since
Aug 15, 1983
Last certification
Feb 13, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 19, 1983 in DE
Enrollment address
95 Elm St
Ste 100
West Springfield, MA 01089-2595

Care Compare: Home health agency

Medicare Care Compare
Listed as
Centerwell Home HealthCCN 227224 · All quality measures
Ownership
Proprietary
Certified
Aug 15, 1983
Medicare certification status
Terminated Voluntary: merger or closure, Mar 1, 2026From the Provider of Services file
Services
Nursing

National Provider Directory

National Provider Directory
Tax ID family
Jacqueline Wagner65 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

2069 Roosevelt Ave
Springfield, MA 01104
Phone (413) 733-1132

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
Joseph Johnson Individual W-2 Managing EmployeeManager-Licensing & Certification Apr 17, 2025
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
Lisa L Adams Individual W-2 Managing EmployeeAdministrator Feb 3, 2020
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%
Centerwell Health Services Inc Organization, Louisville, KY Corporation, Holding company, For-profit, Chain home office 5% Or Greater Indirect Ownership Interest Mar 10, 2010 100%
Joseph M Ruschell Individual Corporate OfficerAvp, Asst Gen CNSL & Corp Sec Mar 1, 2022
Corporate DirectorBoard Member Mar 1, 2022
Sean Turner Individual Corporate OfficerVP, Revenue Cycle Apr 17, 2025
Jaclyn Michelle Murphree Individual Corporate OfficerChief Financial Officer Jan 11, 2025
Corporate DirectorBoard Member Jan 11, 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

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1215968391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 SPRINT PKWY STE 300",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 ELM ST STE 100",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010892595",
            "telephone_number": "413-733-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERWELL CERTIFIED HEALTHCARE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "AUTHORIZED SIGNATORY",
        "authorized_official_telephone_number": "413-733-1132"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "120243",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "801438",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "ANC015",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "235397",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "15047",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "651-YI",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "1020037",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "3267811",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "227224",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "111168",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "60-03419",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "60-00179",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "0008212",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "013100P",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "1020036",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110024326P",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "520121",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CenterWell Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Springfield, MA

Sources for this page

Verify at the official NPI Registry.