Kah Development 4, LLC
Organization Active NPI Home Health Agency · Monticello, AR
NPI 1285084293 · NPPES record last updated Jul 29, 2026
Key facts
- NPI
- 1285084293
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- KAH DEVELOPMENT 4, LLC
- Practice address
- 420 W Gaines St Ste 2
Monticello, AR 71655-4724 - Phone
- (870) 412-4610
- NPI assigned
- Jun 21, 2016
- Organization subpart
- No
Authorized official
- Name
- Sean Patrick Turner
- Title
- VP Revenue Cycle
- Phone
- (810) 360-3133
Other NPIs with the same Medicare PAC ID 9
Corporate family (same tax ID) 13
Change of ownership 1
Affiliated clinicians 11
-
Jim Carmical, MD
-
Franklin David Chambers, M.D.
-
Jay Ross Connelley, M.D.
-
Ladonna Dichelle George, M.D.
-
Timothy M Simon, M.D.
-
Joe H Wharton, MD
-
Paul F Whipple, DO
Medicare Care Compare: Home health agency
- Listed as
- Kindred at Home
- Overall star rating
- ★★★★★ 5 of 5
- Ownership
- Proprietary
- Certified
- Jul 1, 1966
- Medicare certification status
- Active
- Services
- Nursing, Physical therapy, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2116741 | Centerwell Home Health | Certificate of waiver | Jul 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Home health agency certification: CCN 047818
- 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
- Nov 4, 2020
- Ownership / control type
- Proprietary
- Organization structure
- LLC · Proprietary
- Enrollment address
- 420 W Gaines St
Ste 2
Monticello, AR 71655-4724
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Joseph Johnson |
W-2 Managing Employee | Apr 17, 2025 | |
| 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 | |
| Kentucky Homecare Holdings, Inc. |
5% Or Greater Indirect Ownership Interest | Jul 2, 2018 | 100% |
| Humana Inc |
5% Or Greater Indirect Ownership Interest | Aug 17, 2021 | 100% |
| Douglas a Edwards |
Corporate Officer |
Mar 1, 2022 | |
| Centerwell Health Services Inc |
5% Or Greater Direct Ownership Interest | Aug 1, 2016 | 100% |
| Joseph M Ruschell |
Corporate Officer |
Mar 1, 2022 | |
| Corporate Director |
Mar 1, 2022 | ||
| Holli Pope |
W-2 Managing Employee |
Oct 21, 2019 | |
| Sean Turner |
Corporate Officer | Apr 17, 2025 | |
| Jaclyn Michelle Murphree |
Corporate Officer |
Jan 11, 2025 |
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Aug 1, 2016 | Change of Ownership |
Drew County Health Unit |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160912001630 | AR | Part a Provider - Home Health Agency | 8022303148 | Practice locations: Monticello, AR |
National Provider Directory
- Tax ID family
- Centerwell Home Health
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
420 W Gaines St Ste 2
Monticello, AR 71655-4724
Mailing address
PO Box 1509
Louisville, KY 40201-1509
Other names
- CenterWell Home Health
Other providers in Monticello, AR
- David B Jordan
- Tincy Jordan
- Joseph P. Miles, DDS, PA
- Helen Regina Junior
- Stacy Elizabeth Justice
- Ashley Deshea Kelnhofer
- Angelia Grace Kidwell
- Lisa Kilcrease
- Lesa Kilpatrick
- Floice Knapp
All providers in Monticello, AR · Home Health Agency in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 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.