NPIMap

Organization Active NPI

Kah Development 4, LLC

Doing business as CenterWell Home Health

  • Home Health Agency
  • Waldron, AR
National Provider Identifier
1235589250
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KAH DEVELOPMENT 4, LLC
Doing business as
CenterWell Home Health
Practice address
72 W 2ND St
Waldron, AR 72958-7085
Phone
(479) 637-0914
NPI assigned
Jun 21, 2016
Last updated
Jul 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 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

72 W 2ND St
Waldron, AR 72958-7085

Mailing address

PO Box 1509
Louisville, KY 40201-1509

Other names 1

  • CenterWell Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160829000668 AR Part A Provider - Home Health Agency 8022303148 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Forrest City, AR
O20160907002222 AR Part A Provider - Home Health Agency 8022303148 Practice locations: Waldron, AR

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1235589250. Details of each certification follow.

Home health agency certification: CCN 047853

Legal name
KAH DEVELOPMENT 4 LLC
Doing business as
CENTERWELL HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1966
Last certification
Apr 24, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
925 N Washington St
Forrest City, AR 72335-2824

Home health agency certification: CCN 047855

Legal name
KAH DEVELOPMENT 4 LLC
Doing business as
CENTERWELL HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1966
Last certification
Feb 21, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
72 W 2ND St
Waldron, AR 72958-7085

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Centerwell Home HealthCCN 047853 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jul 1, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

Care Compare: Home health agency

Medicare Care Compare
Listed as
Centerwell Home HealthCCN 047855 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jul 1, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology

National Provider Directory

National Provider Directory

Locations

73 Highway 71 Byp S
Waldron, AR 72958
Phone (479) 637-4020

Ownership & related parties

All disclosed owners & managing parties 16

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 Employee Mar 7, 2025
Daniel K Feld Individual Corporate OfficerDirector, Tax Apr 1, 2024
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%
Humana Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 17, 2021 100%
Andrea T Cooper Individual W-2 Managing EmployeeAdministrator Nov 10, 2021
Douglas a Edwards Individual Corporate OfficerSVP Workplace Experience Mar 1, 2022
Centerwell Health Services Inc Organization, Louisville, KY Corporation, Holding company, For-profit, Chain home office 5% Or Greater Direct Ownership Interest Aug 1, 2016 100%
5% Or Greater Direct Ownership Interest Mar 1, 2006
Joseph M Ruschell Individual Corporate OfficerAvp, Asst GC and Corp Secretary Mar 1, 2022
Corporate DirectorBoard Member Mar 1, 2022
Sean Turner Individual Corporate OfficerV.P, Revenue Mar 17, 2025
Jaclyn Michelle Murphree Individual Corporate OfficerCfo Jan 11, 2025
Corporate Director Jan 11, 2025
Jordan L Gilbert Individual W-2 Managing EmployeeAd; Sep 9, 2024
John W Nichols Individual Corporate OfficerAuthorized Signatory, Lic & Cert Mar 1, 2022
Susan M Diamond Individual Corporate OfficerChief Financial Officer Mar 1, 2022
Corporate DirectorBoard Member Mar 1, 2022

Change-of-ownership history 1

DateEventCounterparty
Aug 1, 2016 Change of OwnershipThis provider was the buyer Scott County Health UnitCCN 047855, AR, NPI 1518977669

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 42

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

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1235589250",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 W 2ND ST",
            "city": "WALDRON",
            "state": "AR",
            "postal_code": "729587085",
            "telephone_number": "479-637-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAH DEVELOPMENT 4, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-21",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CenterWell Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waldron, AR

Sources for this page

Verify at the official NPI Registry.