NPIMap

Organization Active NPI

Kah Development 4, LLC

Doing business as CenterWell Home Health

  • Home Health Agency
  • Texarkana, AR
National Provider Identifier
1346692456
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
210 N State Line Ave Ste 501
Texarkana, AR 71854-5912
Phone
(870) 330-7796
NPI assigned
Jul 13, 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 NU Primary

Addresses

Primary practice location

210 N State Line Ave Ste 501
Texarkana, AR 71854-5912

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 AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160830000071 AR Part A Provider - Home Health Agency 8022303148 Practice locations: Texarkana, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346692456. Details of each certification follow.

Home health agency certification: CCN 047838

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
Mar 7, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
210 N State Line Ave
Ste 501
Texarkana, AR 71854-5912

Other NPIs with the same Medicare PAC ID 9

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Centerwell Home HealthCCN 047838 · 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, Physical therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2116863Centerwell Home Health210 N State Line Avenue, Suite 501, Texarkana, AR 71854Certificate of waiverAug 2, 2026

National Provider Directory

National Provider Directory
Tax ID family
Centerwell Home Health14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Ownership & related parties

All disclosed owners & managing parties 12

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 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, 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%
Jennifer a Mayberry Individual W-2 Managing EmployeeAdministrator Aug 21, 2023
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 Aug 1, 2016 100%
Joseph M Ruschell Individual Corporate OfficerAvp, Asst GC and Corp Secretary Mar 1, 2022
Corporate DirectorBoard Member Mar 1, 2022
Sean Turner Individual Corporate OfficerVP, Revenue Cycle Apr 17, 2025
Jaclyn Michelle Murphree Individual Corporate OfficerCfo Jan 11, 2025

Change-of-ownership history 1

DateEventCounterparty
Aug 1, 2016 Change of OwnershipThis provider was the buyer Miller County Health UnitCCN 047838, AR, NPI 1770593816

Change of ownership 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 5

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

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1346692456",
    "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": "210 N STATE LINE AVE STE 501",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718545912",
            "telephone_number": "870-330-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAH DEVELOPMENT 4, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CenterWell Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Texarkana, AR

Sources for this page

Verify at the official NPI Registry.