GENTIVA HEALTH SERVICES (USA), LLC


Address: 804 E Jackson St, Hugo, OK 74743-4222
Phone: 5803268376

GENTIVA HEALTH SERVICES (USA), LLC (NPI# 1902833825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902833825
Entity Type Organization
Organization Name GENTIVA HEALTH SERVICES (USA), LLC
Other Organization Name KINDRED AT HOME V
Practice Address 804 E Jackson St
Hugo
OK 74743-4222
Mailing Address 12900 Foster St Ste 400
Overland Park
KS 66213-2696
Practice Telephone 5803268376
Enumeration Date 2006-06-27
Last Update Date 2019-04-01
Authorized Official Name RUTH SCHWARTZ (ASSISTANT SECRETARY)
Authorized Official Telephone 9138142288
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
OK-COMMERCIAL NUMBER 013100P 01
OK-COMMERCIAL NUMBER 000377146002 01
OK-COMMERCIAL NUMBER 112645333 01
OK-COMMERCIAL NUMBER 377146 01
OK-COMMERCIAL NUMBER 100260400B 01
OK-COMMERCIAL NUMBER 100260400C 01
OK-COMMERCIAL NUMBER 1020616 01
OK-COMMERCIAL NUMBER 17029 01
OK-COMMERCIAL NUMBER GA0177 01
OK-COMMERCIAL NUMBER 2366169 01
OK-COMMERCIAL NUMBER ANC015 01
OK 100260400E 05
OK 100260400M 05
OK 100260400A 05
OK 100260400L 05
OK 100260400U 05
OK-CHAMPUS 112645333186 01
OK-COMMERCIAL NUMBER 7559146 01
OK-COMMERCIAL NUMBER B45126453331 01

Other Provider/Organization Names

Other Name Type Code
Kindred at Home V Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1033141205 Gentiva Health Services (usa), LLC Home Health 2210 W Gore Blvd, Suite 3, Lawton, OK 73501-3652 2006-07-07
1538191713 Gentiva Health Services (usa), LLC Home Health 1202 W Willow Rd, Suite D, Enid, OK 73703-2530 2006-07-07
1346278454 Gentiva Health Services (usa), LLC Home Health 6130 E 32nd St, Suite 116, Tulsa, OK 74135-5476 2006-06-29
1811924731 Gentiva Health Services (usa), LLC Home Health 4045 Nw 64th St Ste 420, Oklahoma City, OK 73116-2617 2006-06-27
1770519480 Gentiva Health Services (usa), LLC Home Health 408 S 8th Ave, Stroud, OK 74079-4630 2006-06-24

Office Location

Street Address 804 E JACKSON ST
City HUGO
State OK
Zip Code 74743-4222

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861428575 Gentiva Certified Healthcare Corp. Home Health 804 E Jackson St, Hugo, OK 74743-4222 2006-06-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053817775 Emilia Sue Lopez Registered Nurse 2008 East 2110 Road, Hugo, OK 74743 2018-04-02
1144739657 Healing Hearts Counseling & Consulting, L.L.C. Clinic/Center 1212 East Kirk, Hugo, OK 74743 2017-09-27
1457801177 Kelli Lemke Nurse Practitioner 204 E. Jackson St., Hugo, OK 74743 2016-10-05
1780040147 Shabreka Dorshell Coleman Student in an Organized Health Care Education/Training Program 1475 North 4220 Road, Grant, OK 74743 2016-01-14
1063898161 Jaclyn Deann Rouse Optometrist 410 North M Street, Hugo, OK 74743 2015-07-31
1548519648 Tori L Fowler Counselor 112 W. Jackson, Hugo, OK 74743 2012-09-05
1174802219 Malinda Burnett Counselor 1100 David Roebuck Lane, Hugo, OK 74743 2011-08-08
1942591490 Joshua Asher Tims Clinic/Center 1213 E. Jackson St, Hugo, OK 74743 2011-05-02
1598998320 Kimberly Dawn Jones Social Worker 1717 1/2 West Jackson, Hugo, OK 74743 2009-08-27
1689812547 Adeline Youngblood Counselor 612 E Jackson, Hugo, OK 74743 2009-01-30
Find all providers in zip 74743

Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255777611 Healthcare Innovations In Home Services of Hugo LLC Home Health 112 W Jackson St Ste A, Hugo, OK 74743-3310 2013-05-13
1871823724 A1 Home Care Services Inc. Home Health 409 4th Ave, Suite 4, Hugo, CO 80821-0063 2009-12-28
1750401162 Apollo Homes Incorporated Home Health 12300 Heather Ave N, Hugo, MN 55038-8317 2007-03-30
1033122544 Lincoln Community Hospital Home Health 111 6th St, Hugo, CO 80821-2002 2006-08-14
1861428575 Gentiva Certified Healthcare Corp. Home Health 804 E Jackson St, Hugo, OK 74743-4222 2006-06-24
1336195312 Kpar Investments, LLC Home Health 2816 E Jackson St Ste B, Hugo, OK 74743-4250 2006-05-25
1588644843 Healthcare Innovations of Oklahoma LLC Home Health 2816 East Jackson Street, Suite A, Hugo, OK 74743-4250 2006-01-20
1407859606 Tkg Inc. Home Health 106 1/2 N Broadway St, Hugo, OK 74743-4031 2005-05-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477166445 Legacy Home Health, LLC Home Health 1631 N Main St Ste B, Muskogee, OK 74401-4451 2020-08-28
1508488727 Healing Hearts Home Health and Hospice LLC Home Health 1400 N Porter Ave Ste 110, Norman, OK 73071-6604 2020-05-11
1144841891 Full Motion Physical Therapy Home Health 6211 Pearl Snap Trl, Stillwater, OK 74074-7457 2020-05-05
1891315461 Ugaf, LLC Home Health 3803 S 79th East Ave Ste 100, Tulsa, OK 74145-3252 2020-04-23
1437782406 Uhs of Texoma Inc Home Health 372 Bryan Dr Ste 110, Durant, OK 74701-3466 2020-02-19
1073145645 Felicia Antoinette Thompson Home Health 2220 N Norfolk Ave, Tulsa, OK 74106-3917 2020-02-11
1770120396 1st Choice Home Health Care & Hospice, Inc Home Health 1211 N Shartel Ave Ste 905a, Oklahoma City, OK 73103-2400 2019-12-02
1346886371 Andrew Lee Garrean Home Health 4148 E 51st St, Tulsa, OK 74135-3609 2019-11-25
1891345021 New Path Quality Home Healthcare LLC Home Health 240 E Apache St Ste 4, Tulsa, OK 74106-3702 2019-09-19
1760032171 Caring Hearts Home Health, LLC Home Health 2220 W Houston St Ste E, Broken Arrow, OK 74012-3504 2019-09-17
Find all providers with the same taxonomy

Competitor

Search similar providers

City HUGO
Zip Code 74743

Improve Information

Please comment or provide details below to improve the information on GENTIVA HEALTH SERVICES (USA), LLC.

Dataset Information

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.

Trending Searches