NPIMap

Organization Active NPI

Kah Development 12, LLC

Doing business as CenterWell Home Health

  • Home Health Agency
  • Lillington, NC
National Provider Identifier
1689119349
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KAH DEVELOPMENT 12, LLC
Doing business as
CenterWell Home Health
Practice address
87 W Cornelius Harnett Blvd
Lillington, NC 27546-6848
Phone
(910) 808-4556
NPI assigned
Jan 4, 2017
Last updated
Aug 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 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

87 W Cornelius Harnett Blvd
Lillington, NC 27546-6848

Mailing address

PO Box 1509
Louisville, KY 40201-1509

Other names 1

  • CenterWell Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170331000263 NC Part A Provider - Home Health Agency 1557646759 Practice locations: Lillington, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689119349. Details of each certification follow.

Home health agency certification: CCN 347089

Legal name
KAH DEVELOPMENT 12, LLC
Doing business as
CENTERWELL HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 21, 1977
Last certification
Jan 9, 2015
Ownership / control type
Government Operated
Organization structure
LLCProprietary
Enrollment address
87 W Cornelius Harnett Blvd
Lillington, NC 27546-6848

Care Compare: Home health agency

Medicare Care Compare
Listed as
Centerwell Home HealthCCN 347089 · All quality measures
Overall star rating
4 of 5
Ownership
Government Operated
Certified
Dec 21, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
34D2129163Kah Development 12, LLC87 W Cornelius Harnett Boulevard, Lillington, NC 27546Certificate of waiverApr 12, 2027

National Provider Directory

National Provider Directory

Locations

87 W Cornelius Harnett Blvd
Lillington, NC 27546
Phone (910) 808-4556

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 OfficerVice 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
John W Nichols Individual Corporate OfficerAuthorized Signatory Lic & Cert Mar 1, 2022
Judith Blass Wade Individual W-2 Managing EmployeeAdministrator May 10, 2023
Kentucky Homecare Holdings, Inc. Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
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 Jul 2, 2018 100%
Joseph M Ruschell Individual Corporate OfficerAvp, Asst Gen CNSL & Corp Sec Mar 1, 2022
Corporate DirectorBoard Member Mar 1, 2022
Susan M Diamond Individual Corporate OfficerCfo Mar 1, 2022
Corporate DirectorBoard Member Mar 1, 2022

Change-of-ownership history 1

DateEventCounterparty
Mar 1, 2017 Change of OwnershipThis provider was the buyer Harnett County Home Health AgencyCCN 347089, NC, NPI 1174520803

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": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1689119349",
    "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": "87 W CORNELIUS HARNETT BLVD",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275466848",
            "telephone_number": "910-808-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAH DEVELOPMENT 12, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "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 Lillington, NC

Sources for this page

Verify at the official NPI Registry.