NPIMap

Organization Active NPI

Centerwell Certified Healthcare Corp.

Doing business as CenterWell Home Health

  • Home Health Agency
  • Fort Smith, AR
National Provider Identifier
1619909884
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CENTERWELL CERTIFIED HEALTHCARE CORP.
Doing business as
CenterWell Home Health
Practice address
2120 S Waldron Rd BLDG C
Fort Smith, AR 72903-3689
Phone
(479) 452-0424
Fax
(479) 452-0960
NPI assigned
Jul 7, 2006
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

2120 S Waldron Rd BLDG C
Fort Smith, AR 72903-3689

Mailing address

PO Box 1509
Louisville, KY 40201-1509

Other identifiers 17

IdentifierTypeStateIssuer
11341402450OtherAR-COMMERCIAL NUMBER
138833742MedicaidAR
047038OtherAR-COMMERCIAL NUMBER
0564382OtherAR-COMMERCIAL NUMBER
112135OtherAR-COMMERCIAL NUMBER
129054514MedicaidAR
140555765MedicaidAR
013100POtherAR-COMMERCIAL NUMBER
115712OtherAR-COMMERCIAL NUMBER
145489757MedicaidAR
138789752MedicaidAR
129054514 (AR)MedicaidAR
138832757MedicaidAR
145450752MedicaidAR
145487738MedicaidAR
145688732MedicaidAR
129056732MedicaidAR

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
O20051017000869 AR Part A Provider - Home Health Agency 7618884529 Practice locations: Fort Smith, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619909884. Details of each certification follow.

Home health agency certification: CCN 047038

Legal name
CENTERWELL CERTIFIED HEALTHCARE CORP
Doing business as
CENTERWELL HOME HEALTH I
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 16, 1982
Last certification
Mar 14, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 19, 1983 in DE
Enrollment address
2120 S Waldron Rd
BLDG C
Fort Smith, AR 72903-3689

Care Compare: Home health agency

Medicare Care Compare
Listed as
Kindred at Home 1CCN 047038 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Feb 16, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
04D0711333Centerwell Home Health2120 South Waldron, BLDG C, Fort Smith, AR 72903Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

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
Courtney D Durall Individual Corporate OfficerSecretary Sep 5, 2025
Celeste Mellet Individual Corporate OfficerChief Financial Officer Jan 15, 2026
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
Sharday Merdja Individual W-2 Managing EmployeeManager, Home Health Licensure Aug 25, 2025
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%
Henry a Buccille Individual W-2 Managing EmployeeAdministrator Nov 13, 2020
Centerwell Health Services Inc Organization, Louisville, KY Corporation, Holding company, For-profit, Chain home office 5% Or Greater Indirect Ownership Interest Mar 10, 2000 100%
Sean Turner Individual Corporate OfficerVice President, Revenue Cycle Mar 17, 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 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1619909884",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 S WALDRON RD BLDG C",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033689",
            "telephone_number": "479-452-0424",
            "fax_number": "479-452-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERWELL CERTIFIED HEALTHCARE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR-COMMERCIAL NUMBER",
            "identifier": "11341402450",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138833742",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR-COMMERCIAL NUMBER",
            "identifier": "047038",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR-COMMERCIAL NUMBER",
            "identifier": "0564382",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR-COMMERCIAL NUMBER",
            "identifier": "112135",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129054514",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140555765",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR-COMMERCIAL NUMBER",
            "identifier": "013100P",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR-COMMERCIAL NUMBER",
            "identifier": "115712",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145489757",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138789752",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129054514  (AR)",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138832757",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145450752",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145487738",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145688732",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129056732",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CenterWell Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.