Centerwell Certified Healthcare Corp.
Organization Active NPI Home Health Agency · Omaha, NE
NPI 1689600371 · NPPES record last updated Jul 28, 2026
Key facts
- NPI
- 1689600371
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- CENTERWELL CERTIFIED HEALTHCARE CORP.
- Practice address
- 1045 N 115TH St Ste 350
Omaha, NE 68154-4415 - Phone
- (402) 343-9433
- NPI assigned
- Jun 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Sean Patrick Turner
- Title
- VP Revenue Cycle
- Phone
- (810) 360-3133
Facilities with the same owner 191
Affiliated clinicians 57
-
Joel Donald Armitage, M.D.
-
Timothy Andrew Burd, M.D.
-
Abelardo C Cruz, MD
-
Michael J Domalakes, M.D.
-
Joseph Dougherty, MD
-
Brett W Fischer, MD
-
William P Fitzgibbons, M.D.
-
Brandi Nicole Flagg, M.D.
-
Michael F Giitter, M.D.
-
Mark E Goebel, M.D.
-
Albulena Govori, DNP, APRN, FNP-BC
-
Kirtibala Gupta, M.D
-
John Harris, M.D.
-
Bret Allen Hays, M.D.
-
David John Inda, M.D.
-
Ajoy K Jana, M.D.
-
Sayfe Ali Jassim, MD
-
Darren R Keiser, M.D.
-
Michael Klug, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Centerwell Home Health
- Overall star rating
- ★★★★★ 5 of 5
- Ownership
- Proprietary
- Certified
- Aug 24, 1984
- Medicare certification status
- Active
- Services
- Nursing, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D0711556 | Centerwell Certified Healthcare Corp | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Home health agency certification: CCN 287038
- Legal name
- CENTERWELL CERTIFIED HEALTHCARE CORP
- Doing business as
- CENTERWELL HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 24, 1984
- Last certification
- Dec 31, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Apr 19, 1983 in DE
- Enrollment address
- 1045 N 115TH St
Ste 350
Omaha, NE 68154-4415
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Courtney D Durall |
Corporate Officer |
Sep 5, 2025 | |
| Celeste Mellet |
Corporate Officer |
Jan 15, 2026 | |
| Daniel K Feld |
Corporate Officer |
Apr 1, 2024 | |
| Lloyd K Allen |
Corporate Officer |
Apr 1, 2024 | |
| Corporate Director |
Apr 1, 2024 | ||
| Kentucky Homecare Parent Inc. |
5% Or Greater Indirect Ownership Interest | Jul 2, 2018 | 100% |
| Monique a Donner |
W-2 Managing Employee |
Jul 22, 2021 | |
| Robert M Marcoux |
Corporate Officer |
Apr 1, 2024 | |
| Sharday Merdja |
W-2 Managing Employee |
Aug 25, 2025 | |
| Kentucky Homecare Holdings, Inc. |
5% Or Greater Indirect Ownership Interest | Jul 2, 2018 | 100% |
| Centerwell Health Services Holding Corp |
5% Or Greater Direct Ownership Interest | Sep 30, 1999 | 100% |
| Humana Inc |
5% Or Greater Indirect Ownership Interest | Aug 17, 2021 | 100% |
| Centerwell Health Services Inc |
5% Or Greater Indirect Ownership Interest | Mar 10, 2000 | 100% |
| Sean Turner |
Corporate Officer |
Mar 17, 2025 |
All facility ownership & control disclosures 7
| Facility | Type | Role | Since |
|---|---|---|---|
| Centerwell Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest | Jun 26, 2024 |
| Centerwell Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Feb 29, 2008 |
| Centerwell Home Health |
Home health agency | 5% Or Greater Indirect Ownership Interest (100%) | Feb 29, 2008 |
| Centerwell Home Health |
Home health agency | 5% Or Greater Indirect Ownership Interest (100%) | Feb 29, 2008 |
| Centerwell Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Feb 29, 2008 |
| Centerwell Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Feb 29, 2008 |
| Centerwell Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2008 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030926000006 | NE | Part a Provider - Home Health Agency | 7618884529 | Practice locations: Omaha, NE |
National Provider Directory
Locations
9140 W Dodge Rd
Ste 401
Omaha, NE 68114
Phone (402) 343-9433
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
1045 N 115TH St Ste 350
Omaha, NE 68154-4415
Mailing address
PO Box 1509
Louisville, KY 40201-1509
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0925024 | Medicaid | NE | |
| ANC015 | Other | NE-COMMERCIAL NUMBER | |
| GA0734 | Other | NE-COMMERCIAL NUMBER | |
| 0925024 | Medicaid | IA | |
| 10662334 | Medicaid | NE | |
| 6000478 | Other | NE-COMMERCIAL NUMBER | |
| 0450 | Other | NE-COMMERCIAL NUMBER | |
| 83186 | Other | NE-COMMERCIAL NUMBER | |
| 013100P | Other | NE-COMMERCIAL NUMBER | |
| 1018667 | Other | NE-COMMERCIAL NUMBER | |
| 945395002 | Medicaid | NE | |
| 287038 | Other | NE-COMMERCIAL NUMBER | |
| 10183001 | Other | NE-COMMERCIAL NUMBER | |
| 67129 | Other | NE-COMMERCIAL NUMBER |
Other names
- CenterWell Home Health
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.