Healthcare Provider Details

I. General information

NPI: 1598748600
Provider Name (Legal Business Name): CENTERWELL HEALTH SERVICES USA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2005
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2411 RING ROAD SUITE 106
ELIZABETHTOWN KY
42701-5930
US

IV. Provider business mailing address

PO BOX 1509
LOUISVILLE KY
40201-1509
US

V. Phone/Fax

Practice location:
  • Phone: 270-763-9242
  • Fax: 270-769-9315
Mailing address:
  • Phone: 913-814-2206
  • Fax: 913-814-2029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number150080
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number150080
License Number StateKY

VIII. Authorized Official

Name: SEAN PATRICK TURNER
Title or Position: VP REVENUE CYCLE
Credential:
Phone: 810-360-3133