NPIMap

Organization Active NPI

Kah Development 4, LLC

Doing business as CenterWell Home Health

  • Home Health Agency
  • Russellville, AR
National Provider Identifier
1912357948
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KAH DEVELOPMENT 4, LLC
Doing business as
CenterWell Home Health
Practice address
1509 E Main St
Suite 6
Russellville, AR 72801-5326
Phone
(479) 890-2730
NPI assigned
Jun 21, 2016
Last updated
Jul 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 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

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

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 AR

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912357948. Details of each certification follow.

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
LLCProprietary
Enrollment address
1509 E Main St
Ste 6
Russellville, AR 72801-5350

Other NPIs with the same Medicare PAC ID 9

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Centerwell Home HealthCCN 047850 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jul 1, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy

National Provider Directory

National Provider Directory
Tax ID family
Centerwell Home Health14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

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
Joseph Johnson Individual W-2 Managing Employee Apr 17, 2025
Daniel K Feld Individual Corporate OfficerVice President, Tax Apr 1, 2024
Lloyd K Allen Individual Corporate OfficerPresident, Home Health Apr 1, 2024
Corporate DirectorPresident, 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 OfficerVice 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 OfficerSVP 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 EmployeeAdministrator Sep 22, 2021
Joseph M Ruschell Individual Corporate OfficerAvp, Asst GC and Corp Secretary Mar 1, 2022
Corporate DirectorAvp, Asst. GC, and Corp. Sec. Mar 1, 2022
Sean Turner Individual Corporate OfficerVP, Revenue Cycle Apr 17, 2025
Jaclyn Michelle Murphree Individual Corporate OfficerCfo Jan 11, 2025
Corporate DirectorCfo Jan 11, 2025

Change-of-ownership history 1

DateEventCounterparty
Aug 1, 2016 Change of OwnershipThis provider was the buyer Pope County Health UnitCCN 047850, AR, NPI 1184634230

Change of ownership 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 23

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

View all 23

NPI Registry JSON

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

{
    "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

Sources for this page

Verify at the official NPI Registry.