GENTIVA CERTIFIED HEALTHCARE CORP. (NPI# 1194757468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194757468 |
| Entity Type | Organization |
| Organization Name | GENTIVA CERTIFIED HEALTHCARE CORP. |
| Other Organization Name | KINDRED AT HOME |
| Practice Address |
1970 Oakcrest Ave Suite 107 Roseville MN 55113-2624 |
| Mailing Address |
12900 Foster St Ste 400 Overland Park KS 66213-2696 |
| Practice Telephone | 6516366330 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2016-06-02 |
| Authorized Official Name | RUTH SCHWARTZ (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 9138142288 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 071755000 | 05 | |
| MN-COMMERCIAL NUMBER | 169027 | 01 | |
| MN-COMMERCIAL NUMBER | 4614OL | 01 | |
| MN-COMMERCIAL NUMBER | 565732 | 01 | |
| MN-COMMERCIAL NUMBER | 5900031 | 01 | |
| MN-COMMERCIAL NUMBER | 013100P | 01 | |
| MN | 4614OL | 05 | |
| MN-COMMERCIAL NUMBER | 106825087 | 01 | |
| MN-COMMERCIAL NUMBER | 247145 | 01 | |
| MN | 41525000 | 05 | |
| WI | 41525000 | 05 | |
| MN-COMMERCIAL NUMBER | 41532800 | 01 | |
| MN-COMMERCIAL NUMBER | 5900033 | 01 | |
| MN | 5900033 | 05 | |
| MN-COMMERCIAL NUMBER | 113414024D | 01 | |
| MN | 169027 | 05 | |
| MN-COMMERCIAL NUMBER | 071755000 | 01 | |
| MN-COMMERCIAL NUMBER | 109673 | 01 |
| Other Name | Type Code |
|---|---|
| Kindred at Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922387976 | Gentiva Certified Healthcare Corp. | Nursing Care | 105 Citation Drive, Suite B, Danville, KY 40422-8633 | 2011-08-09 |
| 1487987335 | Gentiva Certified Healthcare Corp. | Home Health | 505 S Main St Ste 132, Las Cruces, NM 88001-1206 | 2009-09-10 |
| 1952537714 | Gentiva Certified Healthcare Corp. | Home Health | 2600 Old North Hills St, Meridian, MS 39305-1600 | 2009-06-08 |
| 1457587404 | Gentiva Certified Healthcare Corp. | Home Health | 114 N Academy Ave, Butler, AL 36904-2206 | 2009-06-04 |
| 1285899526 | Gentiva Certified Healthcare Corp. | Home Health | 4975 Lacross Rd, Suite 354, North Charleston, SC 29406-6531 | 2008-07-25 |
| 1578626321 | Gentiva Certified Healthcare Corp. | Home Health | 2000 Frontis Plaza Blvd Ste 302, Winston Salem, NC 27103-5616 | 2006-12-19 |
| 1093738072 | Gentiva Certified Healthcare Corp. | Home Health | 3150 N Elm Street, Suite 102, Greensboro, NC 27408-3881 | 2006-07-25 |
| 1437175338 | Gentiva Certified Healthcare Corp. | Home Health | 9009 Perimeter Woods Drive, Suite C, Charlotte, NC 28216-0040 | 2006-07-14 |
| 1023042264 | Gentiva Certified Healthcare Corp. | Home Health | 1250 N 9th St, Suite 105, Stroudsburg, PA 18360-7800 | 2006-07-11 |
| 1982638771 | Gentiva Certified Healthcare Corp. | Home Health | 175 Exchange St, Suite 100, Bangor, ME 04401-6537 | 2006-07-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | GENTIVA CERTIFIED HEALTHCARE CORP. | 3350 Riverwood Pkwy Ste 1400, Atlanta, Georgia 30339 |
| Colorado Business Entities | GENTIVA CERTIFIED HEALTHCARE CORP. | 680 South Fourth Street, Louisville, KY 40202 |
| Massachusetts Corporations | GENTIVA CERTIFIED HEALTHCARE CORP. | 680 South Fourth Street, Louisville, KY 40202 |
| Oregon Corporations, Companies and Business Names | GENTIVA CERTIFIED HEALTHCARE CORP. | 3350 Riverwood Parkway Suite 1400, Atlanta, GA 30339 |
| Iowa Business Entities | GENTIVA CERTIFIED HEALTHCARE CORP. | 3350 Riverwood Parkway, Suite 1400, Atlanta, GA 30339 |
| Indiana Business Entities | GENTIVA CERTIFIED HEALTHCARE CORP. | 3350 Riverwood Parkway, Ste. 1400, Atlanta, GA 30339 |
| Oklahoma Business Registrations | GENTIVA CERTIFIED HEALTHCARE CORP. | 3 Huntington Quadrangle, Melville, NY 11747 |
| Street Address |
1970 OAKCREST AVE SUITE 107 |
| City | ROSEVILLE |
| State | MN |
| Zip Code | 55113-2624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184023517 | Keyla Guenther | Physical Therapist | 1970 Oakcrest Ave, Suite 215, Roseville, MN 55113-2624 | 2014-08-21 |
| 1063591840 | Amy Sue Andersen | Physical Therapist | 1970 Oakcrest Ave, Suite 107, Roseville, MN 55113-2624 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
| 1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
| Find all providers in zip 55113 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720024 | Abdiwali H Abdullahi | Home Health | 3110 Old Highway 8 Unit 206, Roseville, MN 55113-1160 | 2020-08-12 |
| 1417574641 | Hero Home Health Care L L C | Home Health | 2275 Snelling Ave N Apt 110, Roseville, MN 55113-4282 | 2020-07-04 |
| 1730719808 | Abundance of Life Adult Family Home, LLC | Home Health | 2355 Highway 36 W Ste 431, Roseville, MN 55113-3902 | 2020-01-17 |
| 1609414564 | Nest Care Services LLC | Home Health | 2301 Woodbridge St Ste 101, Roseville, MN 55113-4716 | 2019-12-11 |
| 1013558659 | Eleanor C Williams | Home Health | 901 Sunrise Ave Ste A16, Roseville, CA 95661-4541 | 2019-10-04 |
| 1508425794 | Dynamic Health Care | Home Health | 2680 Western Ave N, Roseville, MN 55113-2345 | 2019-06-11 |
| 1083176226 | Safeway Home Healthcare LLC | Home Health | 1157 Skillman Ave W, Roseville, MN 55113-5939 | 2019-04-05 |
| 1376019901 | Healing Place Home Care LLC @gmail.com | Home Health | 26601 Clancy St, Roseville, MI 48066-3150 | 2018-10-22 |
| 1336630284 | Alyssa Florez | Home Health | 26342 Grandmont St, Roseville, MI 48066-3236 | 2018-05-27 |
| 1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
| Find all providers in ROSEVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.