NPIMap

Organization Active NPI

Kah Development 4, LLC

Doing business as CenterWell Home Health

  • Home Health Agency
  • Hope, AR
National Provider Identifier
1619327632
Registry record updated Jul 28, 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
209 S Main St
Hope, AR 71801-4319
Phone
(870) 292-4937
Fax
(870) 722-7064
NPI assigned
Jun 21, 2016
Last updated
Jul 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 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

209 S Main St
Hope, AR 71801-4319

Mailing address

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

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
O20160909000509 AR Part A Provider - Home Health Agency 8022303148 Practice locations: Hope, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619327632. Details of each certification follow.

Home health agency certification: CCN 047824

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
Oct 9, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
209 S Main St
Hope, AR 71801-4319

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
Kindred at HomeCCN 047824 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Jul 1, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy, 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
04D2116859Centerwell Home Health209 South Main Street, Hope, AR 71801Certificate 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 13

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 OfficerDirector, 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
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%
Jennifer a Mayberry Individual W-2 Managing EmployeeAdministrator Nov 9, 2019
Humana Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 17, 2021 100%
Douglas a Edwards Individual Corporate OfficerSVP Workplace Experience Mar 1, 2022
Centerwell Health Services Inc Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Direct 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
Bryan P. Oberholtzer Individual Operational/Managerial ControlHome Office Administrator Oct 4, 2023
Susan M Diamond Individual Corporate OfficerChief Financial Officer Mar 1, 2022
Corporate DirectorBoard Member Mar 1, 2022

Change-of-ownership history 1

DateEventCounterparty
Aug 1, 2016 Change of OwnershipThis provider was the buyer Hempstead County Health UnitCCN 047824, AR, NPI 1649280694

Change of ownership 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1619327632",
    "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": "209 S MAIN ST",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718014319",
            "telephone_number": "870-292-4937",
            "fax_number": "870-722-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAH DEVELOPMENT 4, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-21",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "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 Hope, AR

Sources for this page

Verify at the official NPI Registry.