GENTIVA HEALTH SERVICES (CERTIFIED), INC. (NPI# 1669406377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669406377 |
| Entity Type | Organization |
| Organization Name | GENTIVA HEALTH SERVICES (CERTIFIED), INC. |
| Other Organization Name | KINDRED AT HOME |
| Practice Address |
419 Sw State Road 247 Ste 109 Lake City FL 32025-8318 |
| Mailing Address |
12900 Foster St Ste 400 Overland Park KS 66213-2696 |
| Practice Telephone | 3867583490 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2015-10-08 |
| Authorized Official Name | RUTH C 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 |
|---|---|---|---|
| G2 | 11-3414024 | 01 | |
| 1A | 435459 | 01 | |
| G2 | 080053 | 01 | |
| G2 | 1016443 | 01 | |
| G2 | 113414024 | 01 | |
| G2 | 249710 | 01 | |
| G2 | 146544 | 01 | |
| G2 | 2117440 | 01 | |
| G2 | 6000055 | 01 | |
| G2 | 070415 | 01 | |
| G2 | 095190 | 01 | |
| G2 | 112645333 | 01 | |
| G2 | 79298 | 01 | |
| G2 | 107420 | 01 | |
| G2 | 689825 | 01 | |
| G2 | 7342031 | 01 | |
| G2 | 013100P | 01 |
| Other Name | Type Code |
|---|---|
| Kindred at Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194918854 | Gentiva Health Services (certified), Inc. | Home Health | 2491 Commercial Park Dr, Marianna, FL 32448-2521 | 2007-08-24 |
| 1083648950 | Gentiva Health Services (certified), Inc. | Home Health | 1013 Beck Ave, Panama City, FL 32401-1454 | 2006-07-10 |
| 1518991215 | Gentiva Health Services (certified), Inc. | Home Health | 340 Beal Pkwy Nw, Suite A, Fort Walton Beach, FL 32548-3924 | 2006-07-10 |
| 1427082122 | Gentiva Health Services (certified), Inc. | Home Health | 3671 Innovation Dr, Lakeland, FL 33812-4106 | 2006-07-10 |
| 1043244742 | Gentiva Health Services (certified), Inc. | Home Health | 205 Zeagler Dr Ste 401, Palatka, FL 32177-3887 | 2006-07-10 |
| 1497789192 | Gentiva Health Services (certified), Inc. | Home Health | 4511 N Himes Ave Ste 240, Tampa, FL 33614-7085 | 2006-07-10 |
| 1689608382 | Gentiva Health Services (certified), Inc. | Home Health | 2601 Cattlemen Rd Ste 102, Sarasota, FL 34232-6282 | 2006-07-10 |
| 1972533180 | Gentiva Health Services (certified), Inc. | Home Health | 17240 Camelot Ct Unit 101, Land O Lakes, FL 34638-7287 | 2006-07-04 |
| 1982634101 | Gentiva Health Services (certified), Inc. | Home Health | 1709 Hermitage Blvd Ste 102, Tallahassee, FL 32308-2706 | 2006-07-04 |
| 1841229515 | Gentiva Health Services (certified), Inc. | Home Health | 311 Se 17th Pl, Ocala, FL 34471-5224 | 2006-07-03 |
| Street Address |
419 SW STATE ROAD 247 STE 109 |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32025-8318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1700352838 | Robert J Sansouci IIi IIi | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 | 2018-10-16 |
| 1316442783 | Emily Bailey | Developmental Therapist | 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 | 2018-03-28 |
| 1811446370 | Michelle Hart | Behavioral Analyst | 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 | 2016-09-26 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1093186777 | Decarlos Scippio | Counselor | 619 Sw Baya Drive Suite 102, Lake City, FL 32025 | 2015-10-07 |
| 1497132476 | Jamecia Legree | Registered Nurse | 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 | 2015-04-29 |
| 1306249149 | Mercy Home Assisted Living Facility LLC | Assisted Living Facility | 184 S.e. Beech Street, Lake City, FL 32025 | 2014-10-08 |
| 1598174344 | Karen Mcdonald | Developmental Therapist | 4523 Se County Road 252, Lake City, FL 32025 | 2014-08-06 |
| 1275944126 | Mohammad Ali Faisal Mdpa | Specialist | 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 | 2014-05-14 |
| Find all providers in zip 32025 | ||||
| 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 |
|---|---|---|---|---|
| 1639777345 | Concierge Home Care of Lake City LLC | Home Health | 301 Nw Cole Ter Ste 105, Lake City, FL 32055-9302 | 2020-10-14 |
| 1699382549 | Grace and Mercy Home Health Lc | Home Health | 2370 Green Rd, Lake City, SC 29560-5483 | 2020-09-24 |
| 1659986610 | Andrea Graham | Home Health | 109 S Acline St, Lake City, SC 29560-2632 | 2020-09-15 |
| 1710537501 | All Quality Health Care Agency, LLC | Home Health | 119 N Mcallister St, Lake City, SC 29560-2421 | 2019-09-13 |
| 1003325580 | Missaukee County Commission On Aging | Home Health | 1980 S Morey Rd, Lake City, MI 49651-9380 | 2017-09-27 |
| 1821442021 | Cornerstone District 3 LLC | Home Health | 484 Sw Commerce Dr Ste 130, Lake City, FL 32025-1588 | 2016-04-14 |
| 1144584038 | Blue Lagoon Therapy & Services, LLC | Home Health | 2353 S Lachance Rd, Lake City, MI 49651-8024 | 2012-06-26 |
| 1740597400 | Housecall Home Health, LLC | Home Health | 461 Sw Main Blvd, Lake City, FL 32025-5268 | 2010-09-01 |
| 1427206481 | 3d Providers Corporation | Home Health | 144 Sw Waterford Ct, Suite 101, Lake City, FL 32025-0767 | 2008-09-03 |
| 1902853708 | Omni Home Health- Hernando, LLC | Home Health | 1037 W Us Highway 90, Suite 140, Lake City, FL 32055-3739 | 2006-05-27 |
| Find all providers in LAKE CITY | ||||
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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.