Healthcare Provider Details

I. General information

NPI: 1194707711
Provider Name (Legal Business Name): CENTERWELL HEALTH SERVICES USA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2005
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 FREDERICA ST STE 1009
OWENSBORO KY
42301-3075
US

IV. Provider business mailing address

PO BOX 1509
LOUISVILLE KY
40201-1509
US

V. Phone/Fax

Practice location:
  • Phone: 270-926-1408
  • Fax:
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 Number150114
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number150114
License Number StateKY

VIII. Authorized Official

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