GENTIVA CERTIFIED HEALTHCARE CORP. (NPI# 1689604860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689604860 |
| Entity Type | Organization |
| Organization Name | GENTIVA CERTIFIED HEALTHCARE CORP. |
| Other Organization Name | KINDRED AT HOME |
| Practice Address |
2004 American Way Suite 121 Kingsport TN 37660-5892 |
| Mailing Address |
12900 Foster St Ste 400 Overland Park KS 66213-2696 |
| Practice Telephone | 4232301000 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2018-01-18 |
| 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 |
|---|---|---|---|
| TN | Q033359 | 05 | |
| TN | 0094420 | 05 | |
| G2 | 113414024D | 01 | |
| G2 | 60-20020 | 01 | |
| G2 | 112207 | 01 | |
| G2 | 60-20010 | 01 | |
| TN | TN0112 | 05 | |
| G2 | 0094420 | 01 | |
| G2 | 34511 | 01 | |
| G2 | 447254 | 01 | |
| G2 | 564395 | 01 | |
| G2 | 013100P | 01 | |
| TN | 044-7254TN | 05 | |
| G2 | 44711 | 01 | |
| TN | 447254 | 05 | |
| G2 | ANC015 | 01 | |
| G2 | GA0178 | 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 |
2004 AMERICAN WAY SUITE 121 |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-5892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033109327 | Paul Benjamin Schodowski | Podiatrist | 2004 American Way, Suite 115, Kingsport, TN 37660-4673 | 2005-10-27 |
| 1912203167 | Tanya Naumann | Physical Therapy Assistant | 2004 American Way, Kingsport, TN 37660-5892 | 2011-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| 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 |
|---|---|---|---|---|
| 1619538105 | Brighter Days | Home Health | 1555 Pine Cone Cir, Kingsport, TN 37660-4195 | 2019-06-25 |
| 1437589033 | Sandgala, LLC | Home Health | 2424 E Stone Dr, Kingsport, TN 37660-4739 | 2013-11-18 |
| 1033314505 | Adoration Home Health Care Virginia LLC | Home Health | 105 Jack White Dr Ste A, Kingsport, TN 37664-2364 | 2007-06-15 |
| 1457317646 | El & Dee, Inc | Home Health | 1328 S John B Dennis Hwy, Suite 207, Kingsport, TN 37660-5494 | 2006-04-25 |
| 1972584092 | Wellmont Health System, Inc | Home Health | 2971 Fort Henry Dr, Kingsport, TN 37664-4005 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333037 | Homefirst of Highland Rim, LLC | Home Health | 802 Keylon St Ste B, Manchester, TN 37355-2414 | 2020-10-14 |
| 1952909780 | Homefirst of Middle Tennessee, LLC | Home Health | 1101 Kermit Dr Ste 204, Nashville, TN 37217-5102 | 2020-10-14 |
| 1649885674 | Optimal Home Health & Living | Home Health | 1444 E Shelby Dr Ste 203, Memphis, TN 38116-7244 | 2020-09-15 |
| 1245844919 | Larkspur Home Care | Home Health | 3824 Northcliffe Dr, Memphis, TN 38128-5496 | 2020-09-01 |
| 1821601816 | Jones Enterprises, LLC | Home Health | 1436 Norvel Ave # A, Nashville, TN 37216-2512 | 2020-08-28 |
| 1316558398 | Safe Haven Home Healthcare LLC | Home Health | 609 Bellevue Rd N, Nashville, TN 37221-3430 | 2020-08-12 |
| 1013528348 | Virtue Community Care Inc. | Home Health | 2201 Murfreesboro Pike Ste A216, Nashville, TN 37217-3464 | 2020-08-11 |
| 1699393876 | Quality Assurance LLC | Home Health | 1565 Chariot Ln, Knoxville, TN 37918-6768 | 2020-07-14 |
| 1588282560 | Christacare, LLC | Home Health | 195 Chicken Pike, Smyrna, TN 37167-5059 | 2020-07-07 |
| 1437775053 | Prestige In Home Health Care | Home Health | 3355 Poplar Ave Ste 305, Memphis, TN 38111-4677 | 2020-06-19 |
| Find all providers with the same taxonomy | ||||
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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.