Missouri Home Care of Rolla, Inc.
Organization Active NPI Home Health Agency · Rolla, MO
NPI 1366495384 · NPPES record last updated Aug 19, 2026
Key facts
- NPI
- 1366495384
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 652-13HH (MO)
- Legal business name
- MISSOURI HOME CARE OF ROLLA, INC.
- Practice address
- 1206 Homelife PLZ
Rolla, MO 65401-2512 - Phone
- (573) 341-3456
- NPI assigned
- May 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Sean Patrick Turner
- Title
- VP Revenue Cycle
- Phone
- (810) 360-3133
Owned or controlled facilities with NPI records 2
Corporate family (same tax ID) 4
Member organizations 2
Facilities with the same owner 191
Affiliated clinicians 122
-
Katie Ann Allen, RN,MSN,FNP-C
-
Nathaniel Barbe, DO
-
William Mark Barnett, M.D.
-
James Jeffrey Bass, M.D.
-
Christopher E Bauer, M.D.
-
John Bauer, MD
-
Jesse Beard, D.O.
-
Abigail Laine Blanc, FNP-C
-
Raul A Borrego, MD
-
Edward Burke, M.D.
-
Samantha Casteel, APRN
-
Xuanbo Stone Chen, FNP
-
Sellas Pecos Coble, D.O.
-
Robin Coffey, MD
-
Matthew David Collard, D.O.
-
Douglas A Crase, MD
-
Dana R Day, M.D.
-
Corinna D Defrancesco, RN, MSN, BC, FNP
-
Ashlee Dickens, FNP-C
Medicare Care Compare: Home health agency
- Listed as
- Centerwell Home Health
- Overall star rating
- ★★★★★ 5 of 5
- Ownership
- Proprietary
- Certified
- Feb 16, 1982
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D1095457 | Missouri Home Care of Rolla, Inc | Certificate of waiver | Feb 8, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Home health agency certification: CCN 267098
- Legal name
- MISSOURI HOME CARE OF ROLLA, INC.
- Doing business as
- CENTERWELL HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Feb 16, 1982
- Last certification
- Jan 14, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Jan 27, 1984 in MO
- Enrollment address
- 1206 Homelife PLZ
Rolla, MO 65401-2512
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Harden Healthcare Holdings LLC |
5% Or Greater Indirect Ownership Interest | Oct 18, 2013 | 100% |
| Kari E Noll |
W-2 Managing Employee |
Jun 16, 2023 | |
| 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 | |
| John W Nichols |
Corporate Officer |
Mar 1, 2022 | |
| Kentucky Homecare Holdings, Inc. |
5% Or Greater Indirect Ownership Interest | Jul 2, 2018 | 100% |
| Centerwell Health Services Holding Corp |
5% Or Greater Indirect Ownership Interest | Oct 18, 2013 | 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 Indirect Ownership Interest | Oct 18, 2013 | 100% |
| Joseph M Ruschell |
Corporate Officer |
Mar 1, 2022 | |
| Corporate Director |
Mar 1, 2022 | ||
| Bryan P. Oberholtzer |
Operational/Managerial Control |
Oct 4, 2023 | |
| Harden Home Health, LLC |
5% Or Greater Direct Ownership Interest | Jun 1, 2007 | 100% |
| Harden Healthcare, LLC |
5% Or Greater Indirect Ownership Interest | Dec 23, 2009 | 100% |
| Susan M Diamond |
Corporate Officer |
Mar 1, 2022 | |
| Corporate Director |
Mar 1, 2022 |
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Centerwell Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2007 |
| Centerwell Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jun 15, 2012 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030715000033 | MO | Part a Provider - Home Health Agency | 9537070446 | Practice locations: West Plains, MO; Farmington, MO; Rolla, MO |
National Provider Directory
- Tax ID family
- Auxi Health
Locations
4783 Flat River Rd
Ste 100A
Farmington, MO 63640
Phone (573) 760-0751
731 Vine St
Poplar Bluff, MO 63901
Phone (573) 785-7005
600 N Pine St
Rolla, MO 65401
Phone (573) 341-3456
707 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-2080
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 652-13HH | MO | Yes |
Addresses
Primary practice location
1206 Homelife PLZ
Rolla, MO 65401-2512
Mailing address
PO Box 1509
Louisville, KY 40201-1509
Phone (913) 814-2206
Other practice location 1
707 N Kentucky Ave
West Plains, MO 65775-2085
Phone (417) 257-2080
Other practice location 2
4783 Flat River Rd Ste 100A
Farmington, MO 63640-7401
Phone (573) 760-0751
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 581679602 | Medicaid | MO |
Other names
- CenterWell Home Health
Other providers in Rolla, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 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.