Centerwell Certified Healthcare Corp.
Organization Active NPI Home Health Agency · Atlanta, GA
NPI 1891725693 · NPPES record last updated Aug 14, 2026
Key facts
- NPI
- 1891725693
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- CENTERWELL CERTIFIED HEALTHCARE CORP.
- Practice address
- 1303 Hightower TRL
Suite 105
Atlanta, GA 30350-2919 - Phone
- (770) 998-1393
- NPI assigned
- Jul 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Sean Patrick Turner
- Title
- VP Revenue Cycle
- Phone
- (810) 360-3133
Corporate family (same tax ID) 1
Facilities with the same owner 191
Affiliated clinicians 56
-
Rabiul Alam, MD
-
Nicholas Boleman, MD
-
Ioana R. Bonta, MD
-
Brian Cross, M.D.
-
Jacinto Del Mazo, M.D.
-
Ricardo M Duran, MD
-
Joseph Fowlkes, MD
-
William Strawn Godfrey, M.D.
-
Taylor Reynolds Graves, M.D.
-
Ronald A Hall, M.D.
-
Tsung Ming Hsu, M.D.
-
Omar S Jalil, M.D.
-
Paul R. Jeffords, M.D.
-
Albert Farah Johary Sr., M.D.
-
Justin Kappel, M.D.
-
Long Hoang Le, MD
Medicare Care Compare: Home health agency
- Listed as
- Centerwell Home Health
- Overall star rating
- ★★★★★ 4.5 of 5
- Ownership
- Proprietary
- Certified
- Oct 10, 2002
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0991496 | Centerwell Certified Healthcare Corp | Certificate of waiver | Sep 20, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Home health agency certification: CCN 117132
- Legal name
- CENTERWELL CERTIFIED HEALTHCARE CORP
- Doing business as
- CENTERWELL HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 10, 2002
- Last certification
- May 2, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Apr 19, 1983 in DE
- Enrollment address
- 1303 Hightower TRL
Ste 105
Atlanta, GA 30350-2919
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Courtney D Durall |
Corporate Officer |
Sep 5, 2025 | |
| Celeste Mellet |
Corporate Officer |
Sep 5, 2025 | |
| 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% |
| 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% |
| Tara Etheredge |
W-2 Managing Employee |
Oct 8, 2018 | |
| 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 |
|---|---|---|---|---|
| O20030228000021 | GA | Part a Provider - Home Health Agency | 7618884529 | Practice locations: Tucker, GA; Atlanta, GA |
National Provider Directory
- Tax ID family
- Centerwell Certified Healthcare Corp
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
1303 Hightower TRL
Suite 105
Atlanta, GA 30350-2919
Mailing address
PO Box 1509
Louisville, KY 40201-1509
Phone (913) 814-2206
Other practice location 1
3530 Habersham At Northlake Ste Bldgc
Tucker, GA 30084-4009
Phone (770) 776-3200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 827390 | Other | G2 | |
| 112135 | Other | G2 | |
| 19001 | Other | G2 | |
| 79298 | Other | G2 | |
| GA2202 | Other | G2 | |
| 106825038 | Other | G2 | |
| 113414024G | Other | G2 | |
| 52655785 | Other | G2 | |
| 7803376 | Other | G2 | |
| 797880700A | Medicaid | GA | |
| 1016875 | Other | G2 | |
| 2886106 | Other | G2 | |
| 146544 | Other | G2 | |
| 510-07956 | Other | G2 | |
| ANC015 | Other | G2 |
Other names
- CENTERWELL HOME HEALTH
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 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.