GENTIVA (NPI# 1912367194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912367194 |
| Entity Type | Organization |
| Organization Name | GENTIVA |
| Practice Address |
20 Church St Suite 11 Hartford CT 06103-1246 |
| Mailing Address |
52 Deerwood Ln 11 Waterbury CT 06704-6110 |
| Practice Telephone | 8605284038 |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2016-03-01 |
| Authorized Official Name | LAMISHA S CORLEY (CLINICAL SUPERVISOR) |
| Authorized Official Telephone | 8605284037 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | 1417097593 | CT | Nursing & Custodial Care Facilities |
| Y | 251B00000X | Case Management | CT | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477670081 | Gentiva | Physical Therapist | 2200 Riverchase Ctr Ste 700, Birmingham, AL 35244-2915 | 2007-03-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | GENTIVA | 175 Broad Hollow Rd, Melville, NY 11747 |
| 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 |
| Ohio Business Entities | GENTIVA HEALTH SERVICES | 175 Broad Hollow Rd, Melville, NY 11747 |
| Virginia Business Entities | GENTIVA HEALTH SERVICES (USA) INC. | 3350 Riverwood Parkway, Suite 1400, Atlanta, Georgia 30339 |
| Street Address |
20 CHURCH ST SUITE 11 |
| City | HARTFORD |
| State | CT |
| Zip Code | 06103-1246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720577646 | Jennifer Elana Lassman | Counselor | 20 Front St Apt 505, Hartford, CT 06103 | 2018-05-07 |
| 1073020574 | Amc Counseling Services, LLC | Marriage & Family Therapist | 100 Pearl Street, 14th Floor, Hartford, CT 06103 | 2018-01-05 |
| 1376987834 | Marisol Acevedo Cruz LLC | Marriage & Family Therapist | 100 Wells St. Suite 2l, Bushnell On The Park, Hartford, CT 06103 | 2013-04-26 |
| 1619241676 | Maria-elena Elena Mouser | Physical Therapist | 100 Wells Street Suite 1b, Connecticut Orthopedic Rehabilitation Associates, Hartford, CT 06103 | 2012-03-08 |
| 1770777104 | Nicola C Kennedy | Dentist | 960 Main St, 8th Floor, Hartford Board of Ed Health Services, Hartford, CT 06103 | 2007-08-29 |
| 1801933908 | Anne Mcawley-leduc | Nurse Practitioner | 450 Columbus Ave, Hartford, CT 06103 | 2007-01-30 |
| 1194806083 | Brian W Courtney | Dentist | One Gold St., Hartford, CT 06103 | 2006-10-18 |
| 1689695587 | Diana D Hede | Dentist | 860 Main St, Health Srvcs, Hartford, CT 06103 | 2006-07-23 |
| 1851319826 | William A. Lohrer | Orthopaedic Surgery | Hartford Orthopedic Medicine - 100 Wells Street, Suite 1b, Hartford, CT 06103 | 2006-07-18 |
| 1518992874 | Jin Ho Chung | Physical Medicine & Rehabilitation | 100 Wells Street- Suite 1b, Hartford Orthopedic Medicine, Hartford, CT 06103 | 2006-07-12 |
| Find all providers in zip 06103 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588128813 | Perfect Care, Inc. | Case Management | 36 Hartland St, Hartford, CT 06112-1128 | 2019-01-31 |
| 1386188522 | Poised Ondemand | Case Management | 41 Bond Street, Apt 3w, Hartford, CT 06114 | 2016-12-07 |
| 1598102287 | Josiah Services Unlimited LLC | Case Management | 880 Asylum Ave Ste 3, Hartford, CT 06105-1973 | 2013-06-04 |
| 1568807519 | Lifetime Autistic Homecare, LLC | Case Management | 54 Wells Ave, Hartford, CT 06108-2269 | 2013-05-03 |
| 1144578741 | Community Substance Abuse Center | Case Management | 55 Fish Fry Street, Hartford, CT 06120 | 2012-08-29 |
| 1811255375 | Beacon Light Alternative Services | Case Management | 70 Forest St, Hartford, CT 06105-3204 | 2012-05-02 |
| 1225394190 | Edward Billie | Case Management | 27 East St, Apt 2, Hartford, CT 06120 | 2012-04-05 |
| 1588946917 | Mayflower Quality Care | Case Management | 210 Plainfield St, Hartford, CT 06112-1364 | 2011-09-12 |
| 1801176664 | Northend Community Counseling Center | Case Management | 140 Huyshope Ave, 512, Hartford, CT 06106-2857 | 2011-08-25 |
| 1992155691 | Michael Scott Walker | Case Management | 330 Market St, Hartford, CT 06120-2901 | 2016-06-14 |
| Find all providers in HARTFORD | ||||
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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.