GENTIVA CERTIFIED HEALTHCARE CORP. (NPI# 1801825187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801825187 |
| Entity Type | Organization |
| Organization Name | GENTIVA CERTIFIED HEALTHCARE CORP. |
| Other Organization Name | KINDRED AT HOME |
| Practice Address |
4020 S 56th St Suite 101 Tacoma WA 98409-2615 |
| Mailing Address |
12900 Foster St Ste 400 Overland Park KS 66213-2696 |
| Practice Telephone | 2534756862 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2016-06-27 |
| 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 |
|---|---|---|---|
| WA-COMMERCIAL NUMBER | 135183 | 01 | |
| WA-COMMERCIAL NUMBER | 321563001 | 01 | |
| WA | 9041161 | 05 | |
| WA-COMMERCIAL NUMBER | 300066150 | 01 | |
| WA-BLUE CROSS | 1173 | 01 | |
| WA-COMMERCIAL NUMBER | 651-YI | 01 | |
| WA-COMMERCIAL NUMBER | 507031 | 01 | |
| WA | 9041583 | 05 | |
| WA-COMMERCIAL NUMBER | 113414024 | 01 | |
| WA-COMMERCIAL NUMBER | 1014837 | 01 | |
| WA-COMMERCIAL NUMBER | 321563003 | 01 | |
| WA-COMMERCIAL NUMBER | 11-3414024 | 01 | |
| WA-COMMERCIAL NUMBER | 2223178 | 01 | |
| WA-COMMERCIAL NUMBER | 7271048 | 01 | |
| WA-COMMERCIAL NUMBER | 013100P | 01 | |
| WA-COMMERCIAL NUMBER | 565800 | 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 |
4020 S 56TH ST SUITE 101 |
| City | TACOMA |
| State | WA |
| Zip Code | 98409-2615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811266604 | Natalie Anderson | Occupational Therapist | 4020 S 56th St, Suite 101, Tacoma, WA 98409-2615 | 2011-12-22 |
| 1003023896 | Katherine Jean Thurman | Physical Therapist | 4020 S 56th St, Tacoma, WA 98409-2615 | 2007-05-17 |
| 1013135680 | Julie Ann Vernon | Physical Therapy Assistant | 4020 S 56th St, Suite 101, Tacoma, WA 98409-2615 | 2007-04-21 |
| 1750394847 | Tanya Dierwechter | Physical Therapist | 4020 S 56th St, Suite 101, Tacoma, WA 98409-2615 | 2006-08-13 |
| 1396776902 | Gentiva Health Services (usa), Inc. | Home Health | 4020 S 56th St, Suite 101, Tacoma, WA 98409-2615 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053942805 | Terah Jo Barker | Behavior Technician | 4301 South Pine St., Suite 505, Tacoma, WA 98409 | 2020-01-30 |
| 1427526797 | Carrissa Bentley | Social Worker | 3901 S. Fife Street, Tacoma, WA 98409 | 2018-11-05 |
| 1396255972 | Julie Ann Sunada | Nurse Practitioner | 2505 S 38th St Ste 109, Tacoma, WA 98409 | 2017-10-09 |
| 1306389820 | Laura Town | Chiropractor | 3640 S Cedar St, Ste P, Tacoma, WA 98409 | 2016-12-01 |
| 1114476082 | Chelsea Marie Jensen | Massage Therapist | 701 Commerce Street Apartment 307, Tacoma, WA 98409 | 2016-10-03 |
| 1831574730 | Artika Naidu | Optometrist | 4502 South Steele #700, Located Inside Macy's Lenscrafters, Tacoma, WA 98409 | 2015-07-22 |
| 1972918399 | Tacoma Dental and Implant Center Ps | Clinic/Center | 4704 South Oakes St #103, Tacoma, WA 98409 | 2014-06-24 |
| 1457795957 | Ana Amparo Penas Vasquez | Clinical Nurse Specialist | 2505 South 38th St, Bldg A Suite 109, Tacoma, WA 98409 | 2013-04-26 |
| 1033452156 | Richard William Solitaire | Counselor | 4301 S. Pine St., 30-19, Tacoma, WA 98409 | 2013-03-27 |
| 1790042810 | Tara Kerin Garland | Counselor | 5921 S. Verde St., Tacoma, WA 98409 | 2012-04-13 |
| Find all providers in zip 98409 | ||||
| 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 |
|---|---|---|---|---|
| 1710410964 | Emerald Healthcare, Inc. | Home Health | 4002 Tacoma Mall Blvd Ste 204a, Tacoma, WA 98409-7702 | 2017-04-05 |
| 1689870529 | Advanced Health Care | Home Health | 7047 S D St, Suite A, Tacoma, WA 98408-6112 | 2007-06-26 |
| 1487868451 | Res-care Washington, Inc. | Home Health | 747 St Helens Ave, Suite 200, Tacoma, WA 98402-3719 | 2007-05-09 |
| 1962549154 | Catholic Community Services of Western Washington | Home Health | 1323 Yakima Ave, Tacoma, WA 98405-4457 | 2007-01-30 |
| 1033104575 | Advanced Health Care, Inc. | Home Health | 9116 Gravelly Lake Dr Sw, Suite B1, Tacoma, WA 98499-3148 | 2005-09-12 |
| 1609868413 | Good Samaritan Hospital | Home Health | 3901 S Fife St, Tacoma, WA 98409-7309 | 2005-08-17 |
| 1699311506 | Symbol Healthcare, Inc. | Home Health | 4002 Tacoma Mall Blvd Ste 204, Tacoma, WA 98409-7702 | 2019-11-26 |
| 1881023026 | Envision Home Health of Washington LLC | Home Health | 1818 S Union Ave Ste 1a, Tacoma, WA 98405 | 2013-11-07 |
| 1912242678 | Symbol Healthcare, Inc. | Home Health | 4002 Tacoma Mall Blvd Ste 204, Tacoma, WA 98409-7702 | 2012-12-06 |
| 1407190614 | Maxim Healthcare Services, Inc | Home Health | 4301 S Pine St, 5th Floor, Tacoma, WA 98409-7264 | 2012-11-15 |
| Find all providers in TACOMA | ||||
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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.