Centerwell Certified Healthcare Corp.
Organization Active NPI Home Health Agency · Albuquerque, NM
NPI 1295761997 · NPPES record last updated Jul 29, 2026
Key facts
- NPI
- 1295761997
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- CENTERWELL CERTIFIED HEALTHCARE CORP.
- Practice address
- 4401 Masthead St NE Ste 105
Albuquerque, NM 87109-4682 - Phone
- (505) 345-3754
- NPI assigned
- Jun 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Sean Patrick Turner
- Title
- VP Revenue Cycle
- Phone
- (810) 360-3133
Facilities with the same owner 191
Affiliated clinicians 24
-
Joshua Sterling Brown, M.D.
-
John S Caskey, MD
-
Gerzain Chavez, M.D.
-
Marci J Crawford, CNP
-
Ilango Dharmarajan, AGPCNP-BC
-
John A Garcia, M.D.
-
Warren Goldenberg, CFNP
-
Sue Katz, MD
-
Leticia Moedano, MD
-
Elizabeth Olis, AGNP-BC, CNP
-
Kristine M Parke, MD
-
Jill Ann Rhymes, M.D.
-
Lisa S Robles, M.D.
-
Patrick Samora, MD
-
Mark George Seredowych, M.D.
-
Karin Elizabeth Thron, M.D.
-
Anna Young, M.D.
-
Melissa Nagel, FNP
-
Julie A Silverhart, M.D.
-
Julian T Vega, D.O.
Medicare Care Compare: Home health agency
- Listed as
- Centerwell Home Health
- Overall star rating
- ★★★★☆ 4 of 5
- Ownership
- Proprietary
- Certified
- Sep 23, 1987
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Speech pathology
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D0664542 | Centerwell Certified Healthcare Corp | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Home health agency certification: CCN 327070
- Legal name
- CENTERWELL CERTIFIED HEALTHCARE CORP
- Doing business as
- CENTERWELL HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 23, 1987
- Last certification
- Feb 7, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Apr 19, 1983 in DE
- Enrollment address
- 4401 Masthead St NE
Ste 105
Albuquerque, NM 87109-4682
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Joseph Johnson |
W-2 Managing Employee |
Mar 7, 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% |
| 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% |
| Joseph M Ruschell |
Corporate Officer |
Mar 1, 2022 | |
| Corporate Director |
Mar 1, 2022 | ||
| Jennifer Jan Jones |
W-2 Managing Employee |
Sep 25, 2024 | |
| Sean Turner |
Corporate Officer |
Mar 17, 2025 | |
| Jaclyn Michelle Murphree |
Corporate Officer |
Jan 11, 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 |
|---|---|---|---|---|
| O20060106000214 | NM | Part a Provider - Home Health Agency | 7618884529 | Practice locations: Albuquerque, NM |
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
4401 Masthead St NE Ste 105
Albuquerque, NM 87109-4682
Mailing address
PO Box 1509
Louisville, KY 40201-1509
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000A8575 | Medicaid | NM | |
| 000F1512 | Medicaid | NM | |
| 327070 | Other | NM-COMMERCIAL NUMBER | |
| 60-03419 | Other | NM-COMMERCIAL NUMBER | |
| 112207 | Other | NM-COMMERCIAL NUMBER | |
| 28689 | Other | NM-COMMERCIAL NUMBER | |
| 827390 | Other | NM-COMMERCIAL NUMBER | |
| 013100P | Other | NM-COMMERCIAL NUMBER | |
| 54826 | Other | NM-COMMERCIAL NUMBER | |
| 8413-90 | Other | NM-COMMERCIAL NUMBER | |
| ANC015 | Other | NM-COMMERCIAL NUMBER | |
| 0000N1425 | Medicaid | NM | |
| 146544 | Other | NM-COMMERCIAL NUMBER | |
| 565800 | Other | NM-COMMERCIAL NUMBER | |
| 689703 | Other | NM-COMMERCIAL NUMBER | |
| N1425 | Medicaid | NM | |
| 300066102 | Other | NM-COMMERCIAL NUMBER |
Other names
- CenterWell Home Health
Other providers in Albuquerque, NM
- Center for Creative Studies LLC
- Center for Holistic Health LLC
- Center for Prenatal Development
- Center for Reproductive Medicine of New Mexico
- Center for Women'S Wellness, LLC
- Centracare Wellness & Psychiatric Services LLC
- Central Region Educational Cooperative
- Central Region Educational Cooperative
- Centro Savila LLC
- Kathryn Anne Cerami
All providers in Albuquerque, NM · Home Health Agency in New Mexico
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.