NPIMap

Organization Active NPI

Missouri Home Care of Rolla, Inc.

Doing business as CenterWell Home Health

  • Home Health Agency
  • Rolla, MO
National Provider Identifier
1366495384
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
652-13HH Issued in MO
Legal business name
MISSOURI HOME CARE OF ROLLA, INC.
Doing business as
CenterWell Home Health
Practice address
1206 Homelife PLZ
Rolla, MO 65401-2512
Phone
(573) 341-3456
NPI assigned
May 19, 2006
Last updated
Aug 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 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 652-13HH MO Primary

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 1

IdentifierTypeStateIssuer
581679602MedicaidMO

Other names 1

  • CenterWell Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030715000033 MO Part A Provider - Home Health Agency 9537070446 Practice locations: West Plains, MO; Farmington, MO; Rolla, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366495384. Details of each certification follow.

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
CorporationProprietary
Incorporated
Jan 27, 1984 in MO
Enrollment address
1206 Homelife PLZ
Rolla, MO 65401-2512

Care Compare: Home health agency

Medicare Care Compare
Listed as
Centerwell Home HealthCCN 267098 · All quality measures
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Feb 16, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational 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
26D1095457Missouri Home Care of Rolla, Inc1206 Homelife Plaza, Rolla, MO 65401Certificate of waiverFeb 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
Missouri Home Care of Rolla Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

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

290 N Kentucky Ave
West Plains, MO 65775
Phone (417) 256-9172

707 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-2080

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Harden Healthcare Holdings LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Oct 18, 2013 100%
Kari E Noll Individual W-2 Managing EmployeeAdministrator Jun 16, 2023
Daniel K Feld Individual Corporate OfficerDirector, Tax Apr 1, 2024
Lloyd K Allen Individual Corporate OfficerPresident Apr 1, 2024
Corporate DirectorBoard Member Apr 1, 2024
Kentucky Homecare Parent Inc. Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Robert M Marcoux Individual Corporate OfficerVice President & Treasurer Apr 1, 2024
John W Nichols Individual Corporate OfficerAuthorized Signatory, Lic & Cert Mar 1, 2022
Kentucky Homecare Holdings, Inc. Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Centerwell Health Services Holding Corp Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Oct 18, 2013 100%
Humana Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 17, 2021 100%
Douglas a Edwards Individual Corporate OfficerSenior Vice President Tax Mar 1, 2022
Centerwell Health Services Inc Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Oct 18, 2013 100%
Joseph M Ruschell Individual Corporate OfficerAvp, Asst GC and Corp Secretary Mar 1, 2022
Corporate DirectorBoard Member Mar 1, 2022
Bryan P. Oberholtzer Individual Operational/Managerial ControlHome Office Administrator Oct 4, 2023
Harden Home Health, LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jun 1, 2007 100%
Harden Healthcare, LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 23, 2009 100%
Susan M Diamond Individual Corporate OfficerChief Financial Officer Mar 1, 2022
Corporate DirectorBoard Member Mar 1, 2022

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Centerwell Home HealthColumbia, MO, CCN 267584 Home health agency 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2007
Centerwell Home HealthIndependence, MO, CCN 267639 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jun 15, 2012

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 191

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 191

Practitioners & affiliated clinicians

Affiliated clinicians 122

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

View all 122

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1366495384",
    "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",
            "telephone_number": "913-814-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 HOMELIFE PLZ",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012512",
            "telephone_number": "573-341-3456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 N Kentucky Ave",
            "address_purpose": "LOCATION",
            "city": "West Plains",
            "state": "MO",
            "postal_code": "657752085",
            "country_code": "US",
            "telephone_number": "417-257-2080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4783 Flat River Rd Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MO",
            "postal_code": "636407401",
            "country_code": "US",
            "telephone_number": "573-760-0751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MISSOURI HOME CARE OF ROLLA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "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": "MO",
            "license": "652-13HH",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "581679602",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CenterWell Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rolla, MO

Sources for this page

Verify at the official NPI Registry.