NPIMap

Kah Development 4, LLC

Organization Active NPI Home Health Agency · Russellville, AR

NPI 1912357948 · NPPES record last updated Jul 29, 2026

Key facts

NPI
1912357948
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
Legal business name
KAH DEVELOPMENT 4, LLC
Practice address
1509 E Main St
Suite 6
Russellville, AR 72801-5326
Phone
(479) 890-2730
NPI assigned
Jun 21, 2016
Organization subpart
No

Authorized official

Name
Sean Patrick Turner
Title
VP Revenue Cycle
Phone
(810) 360-3133

Other NPIs with the same Medicare PAC ID 9

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

Corporate family (same tax ID) 13

Organizations that report the same tax identification number in the National Provider Directory.

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Affiliated clinicians 23

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

Medicare Care Compare: Home health agency

Listed as
Centerwell Home Health CCN 047850
Overall star rating
★★★★☆ 3.5 of 5
Ownership
Proprietary
Certified
Jul 1, 1966
Medicare certification status
Active (Provider of Services file)
Services
Nursing, Physical therapy

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AR

Home health agency certification: CCN 047850

Legal name
KAH DEVELOPMENT 4 LLC
Doing business as
CENTERWELL HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1966
Last certification
Sep 6, 2019
Ownership / control type
Proprietary
Organization structure
LLC · Proprietary
Enrollment address
1509 E Main St
Ste 6
Russellville, AR 72801-5350

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
Joseph Johnson
Individual 		W-2 Managing Employee Apr 17, 2025
Daniel K Feld
Individual 		Corporate Officer
Vice President, Tax		 Apr 1, 2024
Lloyd K Allen
Individual 		Corporate Officer
President, Home Health		 Apr 1, 2024
Corporate Director
President, Home Health		 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 Officer
Vice President & Treasurer		 Apr 1, 2024
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 Officer
SVP Workplace Experience		 Mar 1, 2022
Centerwell Health Services Inc
Organization · Louisville, KY
Corporation, Holding company, For-profit 		5% Or Greater Direct Ownership Interest Aug 1, 2016 100%
Laura R Gullett
Individual 		W-2 Managing Employee
Administrator		 Sep 22, 2021
Joseph M Ruschell
Individual 		Corporate Officer
Avp, Asst GC and Corp Secretary		 Mar 1, 2022
Corporate Director
Avp, Asst. GC, and Corp. Sec.		 Mar 1, 2022
Sean Turner
Individual 		Corporate Officer
VP, Revenue Cycle		 Apr 17, 2025
Jaclyn Michelle Murphree
Individual 		Corporate Officer
Cfo		 Jan 11, 2025
Corporate Director
Cfo		 Jan 11, 2025

Change-of-ownership history

DateEventCounterparty
Aug 1, 2016 Change of Ownership
This provider was the buyer		 Pope County Health Unit
CCN 047850 · AR · NPI 1184634230

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20160908000267 AR Part a Provider - Home Health Agency 8022303148 Practice locations: Russellville, AR

National Provider Directory

Tax ID family
Centerwell Home Health (14 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Yes

Addresses

Primary practice location

1509 E Main St
Suite 6
Russellville, AR 72801-5326

Mailing address

PO Box 1509
Louisville, KY 40201-1509

Other names

  • CenterWell Home Health Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 29, 2026.

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1912357948",
    "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": "1509 E MAIN ST",
            "address_2": "SUITE 6",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728015326",
            "telephone_number": "479-890-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAH DEVELOPMENT 4, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-21",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CenterWell Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Russellville, AR

All providers in Russellville, AR · Home Health Agency in Arkansas

Sources for this page

Verify at the official NPI Registry.