GENTIVA CERTIFIED HEALTHCARE CORP. (NPI# 1861428559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861428559 |
| Entity Type | Organization |
| Organization Name | GENTIVA CERTIFIED HEALTHCARE CORP. |
| Other Organization Name | KINDRED AT HOME |
| Practice Address |
1600 4th Ave Suite 201 Rock Island IL 61201-8632 |
| Mailing Address |
12900 Foster St Ste 400 Overland Park KS 66213-2696 |
| Practice Telephone | 3097863700 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2016-03-28 |
| 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 |
|---|---|---|---|
| IA | 0917435 | 05 | |
| IL-COMMERCIAL NUMBER | 112135 | 01 | |
| IL-COMMERCIAL NUMBER | 147428 | 01 | |
| IL | 07641 | 05 | |
| IL-COMMERCIAL NUMBER | 67124 | 01 | |
| IL | 0917435 | 05 | |
| IL-COMMERCIAL NUMBER | 109673 | 01 | |
| IL-COMMERCIAL NUMBER | ANC015 | 01 | |
| IL-COMMERCIAL NUMBER | 29109 | 01 | |
| IL-COMMERCIAL NUMBER | 013100P | 01 | |
| IL-COMMERCIAL NUMBER | 113414024D | 01 | |
| IL-COMMERCIAL NUMBER | 50210 | 01 | |
| IL-COMMERCIAL NUMBER | 9788 | 01 | |
| IL-COMMERCIAL NUMBER | GA0050 | 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 |
1600 4TH AVE SUITE 201 |
| City | ROCK ISLAND |
| State | IL |
| Zip Code | 61201-8632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689206245 | Judy Kay Moore | Technician | 2439 8th Ave, Rock Island, IL 61201 | 2020-02-11 |
| 1053956862 | Christina Beam | Counselor | 1413 40th Street, Rock Island, IL 61201 | 2019-11-15 |
| 1356843817 | Stephanie Kaye Jones | Counselor | 2701 17th St., Rock Island, IL 61201 | 2018-03-01 |
| 1073062030 | Innovative Transport Enterprise, LLC | Non-emergency Medical Transport (VAN) | 2239 24th Street Apt 15c, Rock Island, IL 61201 | 2016-09-30 |
| 1124575733 | Robert Young Center | Community Based Residential Treatment Facility, Mental Illness | 2701 - 17 Street, Rockisland, IL 61201 | 2016-09-01 |
| 1538520903 | James Keith Frainey | Psychologist | 805 19th Street, Transitions Mhs, Rock Island, IL 61201 | 2016-03-14 |
| 1417340837 | Brandon Lee Sachwitz | Physician Assistant | 2701 17th Street, Trinity Medical Center, Rock Island, IL 61201 | 2015-03-10 |
| 1215366679 | Kimberly Lyall | Physical Therapy Assistant | 767 30th Street, Rock Island, IL 61201 | 2013-11-06 |
| 1386080745 | The Abbey Center, LLC | Clinic/Center | 3031 5th Ave., Rock Island, IL 61201 | 2013-05-13 |
| 1487097382 | Joe Lee Westerhof | Veterinarian | 2529 11th St, Rock Island, IL 61201 | 2013-04-10 |
| Find all providers in zip 61201 | ||||
| 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 |
|---|---|---|---|---|
| 1396346474 | A Smith At Your Service | Home Health | 2504 7th Ave, Rock Island, IL 61201-9027 | 2020-11-04 |
| 1457979452 | Faith Health Services | Home Health | 2100 18th Ave Ste 230, Rock Island, IL 61201-3668 | 2020-07-07 |
| 1790927739 | Amedisys Illinois LLC | Home Health | 1830 2nd Avenue, Suite 100, Rock Island, IL 61201-8003 | 2009-04-06 |
| 1922245224 | Outreach Homehealth Services, Inc. | Home Health | 1123 7th Ave, Suite 3, Rock Island, IL 61201-8449 | 2009-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477355 | Bijou Alokpovi | Home Health | 2294 Nichols Rd Apt D, Arlington Heights, IL 60004-1177 | 2020-11-07 |
| 1639779564 | A Delightful Homelife Healthcare Services LLC | Home Health | 4027 N Washington St, Westmont, IL 60559-1332 | 2020-10-29 |
| 1730789074 | Greys Medical Services | Home Health | 419 Highland Ave, West Dundee, IL 60118-1224 | 2020-10-27 |
| 1538769898 | Treasured Hands Home Health Agency, LLC | Home Health | 5819 N Kimball Ave, Chicago, IL 60659-3503 | 2020-10-27 |
| 1689280943 | Servucare Home Care | Home Health | 4803 Javelin Dr, Rockford, IL 61108-2301 | 2020-09-21 |
| 1407461213 | Chantel Coad | Home Health | 701 Devonshire Dr Ste B13, Champaign, IL 61820-7328 | 2020-09-09 |
| 1881208239 | Solidex Group LLC | Home Health | 3356 W Columbia Ave Apt 2, Lincolnwood, IL 60712-3855 | 2020-09-02 |
| 1134733835 | Bethany North Suburban Group | Home Health | 2601 Chestnut Ave Unit 3310, Glenview, IL 60026-8317 | 2020-09-01 |
| 1528670171 | Jessica Renee Paul | Home Health | 647 W Losey St Ste 3, Galesburg, IL 61401-2594 | 2020-08-17 |
| 1457962144 | Anuco Home Health Care LLC | Home Health | 17 N Leclaire Ave Apt 2w, Chicago, IL 60644-4104 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
| City | ROCK ISLAND |
| Zip Code | 61201 |
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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.