Centerwell Certified Healthcare Corp.
Organization Active NPI Home Health Agency · Beckley, WV
NPI 1265461545 · NPPES record last updated Aug 10, 2026
Key facts
- NPI
- 1265461545
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- CENTERWELL CERTIFIED HEALTHCARE CORP.
- Practice address
- 112 Mellon St
Beckley, WV 25801-3536 - Phone
- (304) 255-5263
- NPI assigned
- Jun 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Sean Patrick Turner
- Title
- VP Revenue Cycle
- Phone
- (810) 360-3133
Corporate family (same tax ID) 3
Facilities with the same owner 191
Affiliated clinicians 76
-
Jessica Sue Aliff, D.O.
-
Quartel-Ayne Amjad, M.D.
-
Kimberly D Ballard, D.O.
-
Joshua A. Boggs, M.D
-
Christina D. Brash, FNP-BC
-
Juli V Brehm, D.O.
-
Randy M Brodnik, DO FACOG
-
Erica Rennee Cervera, RN, MSN, APRN, BC
-
Raechal Ann Childers, D.O.
-
Billy J Cole II, D.O.
-
Heather Marie Cook, PA-C
-
Amanda Marie Davis, PA-C
-
Megan Nicole Dincher, PA-C
-
Amy W Dowdy, D.O.
-
Ahmad Eter, MD
-
Trista L. Gibson, PA-C
-
Zonaira Gul, M.D
-
Zachary Tyler Halsey, D.O.
Medicare Care Compare: Home health agency
- Listed as
- Centerwell Home Health
- Overall star rating
- ★★★★★ 4.5 of 5
- Ownership
- Proprietary
- Certified
- Sep 16, 2003
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D1017862 | Centerwell Certified Healthcare Corp Dba | Certificate of waiver | Oct 6, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
Home health agency certification: CCN 517125
- Legal name
- CENTERWELL CERTIFIED HEALTHCARE CORP
- Doing business as
- CENTERWELL HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 16, 2003
- Last certification
- Mar 3, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Apr 19, 1983 in DE
- Enrollment address
- 112 Mellon St
Beckley, WV 25801-3536
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Courtney D Durall |
Corporate Officer |
Sep 5, 2025 | |
| Celeste Mellet |
Corporate Officer |
Jan 15, 2026 | |
| Daniel K Feld |
Corporate Officer |
Apr 1, 2024 | |
| Lloyd K Allen |
Corporate Officer |
Apr 1, 2024 | |
| Corporate Director |
Apr 1, 2024 | ||
| Kentucky Homecare Parent Inc. |
5% Or Greater Indirect Ownership Interest | Jul 2, 2018 | 100% |
| Robert M Marcoux |
Corporate Officer |
Apr 1, 2024 | |
| Sharday Merdja |
W-2 Managing Employee |
Aug 25, 2025 | |
| Amber N. Kees |
W-2 Managing Employee |
Apr 1, 2021 | |
| Kentucky Homecare Holdings, Inc. |
5% Or Greater Indirect Ownership Interest | Jul 2, 2018 | 100% |
| Centerwell Health Services Holding Corp |
5% Or Greater Direct Ownership Interest | Sep 30, 1999 | 100% |
| Humana Inc |
5% Or Greater Indirect Ownership Interest | Aug 17, 2021 | 100% |
| Centerwell Health Services Inc |
5% Or Greater Indirect Ownership Interest | Mar 10, 2000 | 100% |
| Sean Turner |
Corporate Officer |
Mar 17, 2025 |
All facility ownership & control disclosures 7
| Facility | Type | Role | Since |
|---|---|---|---|
| Centerwell Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest | Jun 26, 2024 |
| Centerwell Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Feb 29, 2008 |
| Centerwell Home Health |
Home health agency | 5% Or Greater Indirect Ownership Interest (100%) | Feb 29, 2008 |
| Centerwell Home Health |
Home health agency | 5% Or Greater Indirect Ownership Interest (100%) | Feb 29, 2008 |
| Centerwell Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Feb 29, 2008 |
| Centerwell Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Feb 29, 2008 |
| Centerwell Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2008 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030317000023 | WV | Part a Provider - Home Health Agency | 7618884529 | Practice locations: Beckley, WV; Princeton, WV |
National Provider Directory
- Tax ID family
- Centerwell Certified Healthcare Corp
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
112 Mellon St
Beckley, WV 25801-3536
Mailing address
PO Box 1509
Louisville, KY 40201-1509
Phone (913) 814-2716
Other practice location 1
150 Courthouse Rd Ste 301A
Princeton, WV 24740-0059
Phone (304) 325-3378
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600055 | Other | WV-COMMERCIAL NUMBER | |
| 0005018001 | Medicaid | WV | |
| 235397 | Other | WV-COMMERCIAL NUMBER | |
| 0005018001 | Other | WV-COMMERCIAL NUMBER | |
| 013100P | Other | WV-COMMERCIAL NUMBER | |
| 3810000154 | Medicaid | WV | |
| 113414024-01 | Other | WV-COMMERCIAL NUMBER | |
| 1530955 | Other | WV-COMMERCIAL NUMBER | |
| 2118500 | Other | WV-COMMERCIAL NUMBER | |
| 001741723 | Other | WV-COMMERCIAL NUMBER | |
| 0005018-001 | Medicaid | WV | |
| 100693266 | Medicaid | PA | |
| 070032800 | Other | WV-COMMERCIAL NUMBER | |
| 5018001 | Medicaid | WV | |
| 517048 | Other | WV-COMMERCIAL NUMBER |
Other names
- CenterWell Home Health
Other providers in Beckley, WV
- Azsha Caudill
- Sarah Caudill
- Charles Edward Ccampbell
- Mary Jo Cecil
- Aldino G Cellini
- David Michael Chada
- Kandace Chambers
- Stephen S Chambers
- Talana Champion
- Amanda Chancey
All providers in Beckley, WV · Home Health Agency in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.