Organization Active NPI

Centerwell Certified Healthcare Corp.

  • Home Health Agency
  • Dothan, AL
National Provider Identifier
1467489385
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CENTERWELL CERTIFIED HEALTHCARE CORP.
Practice address
105 Executive Park Dr
Dothan, AL 36303-2167
Phone
(334) 944-2290
NPI assigned
Jun 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 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 Primary

Addresses

Primary practice location

105 Executive Park Dr
Dothan, AL 36303-2167

Mailing address

PO Box 1509
Louisville, KY 40201-1509
Phone (913) 814-2716

Other identifiers 1

IdentifierTypeStateIssuer
116506MedicaidAL

Other names 1

  • CENTERWELL HOME HEALTH Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070918000104 AL Part A Provider - Home Health Agency 7618884529 Practice locations: Dothan, AL

Home health agency certification: CCN 017164

Legal name
CENTERWELL CERTIFIED HEALTHCARE CORP
Doing business as
CENTERWELL HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 27, 2008
Last certification
Oct 25, 2013
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 19, 1983 in DE
Enrollment address
105 Executive Park Dr
Dothan, AL 36303-2167

Care Compare: Home health agency

Medicare Care Compare
Listed as
Centerwell Home HealthCCN 017164
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Feb 27, 2008
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
01D1074567Dba Centerwell Home Health105 Executive Park Drive, Dothan, AL 36303Certificate of waiverOct 1, 2027

National Provider Directory

National Provider Directory
Tax ID family
Centerwell Certified Healthcare Corp65 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 7

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

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
Daniel K Feld Individual Corporate OfficerAssociate Vice-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, 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
Annie Welch Individual W-2 Managing EmployeeAdministrator Dec 6, 2021
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 Direct Ownership Interest Sep 30, 1999 100%
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 5% Or Greater Indirect Ownership Interest Mar 10, 2000 100%
Joseph M Ruschell Individual Corporate OfficerAvp, Asst Gen CNSL & Corp Sec Mar 1, 2022
Corporate DirectorBoard Member Mar 1, 2022
Sean Turner Individual Corporate OfficerSVP Revenue Cycle Mar 17, 2025
Jaclyn Michelle Murphree Individual Corporate OfficerChief Financial Officer Jan 11, 2025

All facility ownership & control disclosures 7

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

FacilityTypeRoleSince
Centerwell Home HealthOverland Park, KS, CCN 177179 Home health agency 5% Or Greater Direct Ownership Interest Jun 26, 2024
Centerwell Home HealthFlowood, MS, CCN 257126 Home health agency 5% Or Greater Direct Ownership Interest (100%) Feb 29, 2008
Centerwell Home HealthHazlehurst, MS, CCN 257304 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Feb 29, 2008
Centerwell Home HealthTupelo, MS, CCN 257303 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Feb 29, 2008
Centerwell Home HealthColumbus, MS, CCN 257110 Home health agency 5% Or Greater Direct Ownership Interest (100%) Feb 29, 2008
Centerwell Home HealthBruce, MS, CCN 257309 Home health agency 5% Or Greater Direct Ownership Interest (100%) Feb 29, 2008
Centerwell Home HealthColorado Springs, CO, CCN 067129 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2008

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 49

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

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1467489385",
    "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": "913-814-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 EXECUTIVE PARK DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032167",
            "telephone_number": "334-944-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERWELL CERTIFIED HEALTHCARE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116506",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTERWELL HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.