NPIMap

Organization Active NPI

Centerwell Health Services (Certified), Inc.

Doing business as Centerwell Home Health

  • Home Health Agency
  • Lake City, FL
National Provider Identifier
1669406377
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CENTERWELL HEALTH SERVICES (CERTIFIED), INC.
Doing business as
Centerwell Home Health
Practice address
419 SW State Road 247 Ste 109
Lake City, FL 32025-8318
Phone
(386) 758-3490
NPI assigned
Jul 10, 2006
Last updated
Aug 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 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

419 SW State Road 247 Ste 109
Lake City, FL 32025-8318

Mailing address

PO Box 1509
Louisville, KY 40201-1509
Phone (561) 697-3606

Other practice location 1

712 Ohio Ave S
Live Oak, FL 32064-3817
Phone (386) 364-4593

Other identifiers 17

IdentifierTypeStateIssuer
013100POtherG2
070415OtherG2
435459Other1A
249710OtherG2
79298OtherG2
1016443OtherG2
107420OtherG2
11-3414024OtherG2
146544OtherG2
689825OtherG2
7342031OtherG2
095190OtherG2
112645333OtherG2
113414024OtherG2
6000055OtherG2
080053OtherG2
2117440OtherG2

Other names 1

  • CENTERWELL HOME HEALTH Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050126000329 FL Part A Provider - Home Health Agency 8527976877 Practice locations: Lake City, FL; Live Oak, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669406377. Details of each certification follow.

Home health agency certification: CCN 107420A

Legal name
CENTERWELL HEALTH SERVICES CERTIFIED, INC.
Doing business as
CENTERWELL HOME HEALTH
Organization structure
CorporationProprietary
Incorporated
Sep 29, 1998 in DE
Enrollment address
419 SW State Road 247
Ste 109
Lake City, FL 32025-8318

Other NPIs with the same Medicare PAC ID 18

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

View all 18

Care Compare: Home health agency

Medicare Care Compare
Listed as
Centerwell Home HealthCCN 107420
Overall star rating
4.5 of 5
Ownership
Non-Profit
Certified
Aug 30, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory

Locations

419 SW State Road 247
Ste 109
Lake City, FL 32025
Phone (386) 758-3490

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

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 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
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%
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%
Ashley N Walker Individual W-2 Managing EmployeeAdministrator Nov 12, 2018
Sean Turner Individual Corporate OfficerVP Revenue Cycle Mar 17, 2025

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 46

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

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1669406377",
    "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": "561-697-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 SW STATE ROAD 247 STE 109",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320258318",
            "telephone_number": "386-758-3490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "712 Ohio Ave S",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "FL",
            "postal_code": "320643817",
            "country_code": "US",
            "telephone_number": "386-364-4593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTERWELL HEALTH SERVICES (CERTIFIED), INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "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": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "013100P",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "070415",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1A",
            "identifier": "435459",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "249710",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "79298",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "1016443",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "107420",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "11-3414024",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "146544",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "689825",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "7342031",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "095190",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "112645333",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "113414024",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "6000055",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "080053",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "2117440",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTERWELL HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake City, FL

Sources for this page

Verify at the official NPI Registry.