NPIMap

Organization Active NPI

Carris Health - Redwood LLC

Doing business as CentraCare Home Health

  • Home Health Agency
  • Redwood Falls, MN
National Provider Identifier
1386126167
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
387087 Issued in MN
Legal business name
CARRIS HEALTH - REDWOOD LLC
Doing business as
CentraCare Home Health
Practice address
1110 E Bridge St
Redwood Falls, MN 56283-1808
Phone
(507) 637-4579
NPI assigned
Aug 29, 2018
Last updated
Sep 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Blair
Title
Cfo
Phone
(320) 255-5665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 387087 MN Primary

Addresses

Primary practice location

1110 E Bridge St
Redwood Falls, MN 56283-1808

Mailing address

PO Box 735826
Chicago, IL 60673-5826
Phone (320) 251-2700

Other names 1

  • CentraCare Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20181030001667 MN Part A Provider - Home Health Agency 7911259619 Practice locations: Redwood Falls, MN
O20201130003105 MN Part B Supplier - Independent Clinical Laboratory 7911259619 Practice locations: Redwood Falls, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386126167. Details of each certification follow.

Home health agency certification: CCN 247229

Legal name
CARRIS HEALTH - REDWOOD LLC
Doing business as
CENTRACARE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 10, 1986
Last certification
Nov 6, 2019
Ownership / control type
Non-Profit
Organization structure
LLCNon-profit
Enrollment address
1110 E Bridge St
Redwood Falls, MN 56283-1808
HHA Branch

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Centracare Home HealthCCN 247229 · All quality measures
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
Oct 10, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Carris Health - Redwood LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1110 E Bridge St
Redwood Falls, MN 56283
Phone (507) 637-4563

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Tina SSN May Individual Corporate Director Jul 1, 2025
Michelle Johnson Individual Corporate Director Jul 1, 2021
Thomas Knoblach Individual Corporate Director Jul 1, 2011
Michael a Blair Individual Corporate DirectorCfo Sep 30, 2019
W-2 Managing Employee Sep 30, 2019
Jeffrey Gau Individual Corporate Director Jul 1, 2017
Renee S Frauendienst Individual Corporate Director Jul 1, 2017
Jacob Lyons Individual Corporate Director Jul 1, 2024
Richard Wehseler Individual Corporate Director Apr 21, 2018
Bobbie Bertram Individual Corporate Director Jul 1, 2015
Kenneth D Holmen Individual Corporate OfficerChain Home Office Administrator Jan 1, 2019
Sherri Liebl Individual Corporate DirectorDirector of Revenue Jul 27, 2020
David Anfinson Individual Corporate Director Jul 21, 2018
Carris Health LLC Organization, Willmar, MN LLC, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2019 100%
Daniel Abdul Individual Corporate Director Jul 1, 2022
James Hebl Individual Corporate Director Jul 1, 2017
Carrie Henning-Smith Individual Corporate Director Jul 1, 2023
Centracare Health System Organization, Saint Cloud, MN Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2019 100%
Bryan Rolph Individual Corporate Director Jul 1, 2019

Owners & managing parties with NPI records 11

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 28

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

View all 28

Change-of-ownership history 1

DateEventCounterparty
Jan 1, 2019 Change of OwnershipThis provider was the buyer Redwood Area Hospital Home CareCCN 247229, MN, NPI 1790775864

Change of ownership 1

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

Practitioners & affiliated clinicians

Practitioners 183

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 183

Affiliated clinicians 3

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": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1386126167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735826",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735826",
            "telephone_number": "320-251-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 E BRIDGE ST",
            "city": "REDWOOD FALLS",
            "state": "MN",
            "postal_code": "562831808",
            "telephone_number": "507-637-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRIS HEALTH - REDWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "320-255-5665"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "387087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CentraCare Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redwood Falls, MN

Sources for this page

Verify at the official NPI Registry.