GENTIVA CERTIFIED HEALTHCARE CORP. (NPI# 1982638771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982638771 |
Entity Type | Organization |
Organization Name | GENTIVA CERTIFIED HEALTHCARE CORP. |
Other Organization Name | KINDRED AT HOME |
Practice Address |
175 Exchange St Suite 100 Bangor ME 04401-6537 |
Mailing Address |
12900 Foster St Ste 400 Overland Park KS 66213-2696 |
Practice Telephone | 2079909000 |
Enumeration Date | 2006-07-10 |
Last Update Date | 2016-10-21 |
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 |
---|---|---|---|
ME | 160770300 | 05 | |
G2 | 2273784 | 01 | |
G2 | 113414024 | 01 | |
G2 | 207045 | 01 | |
G2 | 000000015681 | 01 | |
G2 | 120243 | 01 | |
ME | 160770201 | 05 | |
G2 | 28689 | 01 | |
G2 | 013100P | 01 | |
ME | 160770001 | 05 | |
G2 | 702022 | 01 | |
G2 | 7706020 | 01 | |
ME | 160770202 | 05 | |
G2 | 235397 | 01 | |
G2 | 6000006 | 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 |
1518990258 | Gentiva Certified Healthcare Corp. | Nursing Care | 540 Noel Ave, Hopkinsville, KY 42240-1386 | 2006-07-08 |
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 |
175 EXCHANGE ST SUITE 100 |
City | BANGOR |
State | ME |
Zip Code | 04401-6537 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
Find all providers in zip 04401 |
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 |
---|---|---|---|---|
1134152945 | New England Home Health Care | Home Health | 412 State St, Bangor, ME 04401-6611 | 2006-07-08 |
1598137754 | Vna Home Health & Hospice | Home Health | 885 Union St, Suite 220, Bangor, ME 04401 | 2015-10-28 |
1013252436 | Comforting Choices | Home Health | 263 State St, Suite 30 Box 1, Bangor, ME 04401-5435 | 2012-12-11 |
1508110271 | Penquis C.a.p., Inc. | Home Health | 262 Harlow St, Bangor, ME 04401-4952 | 2012-11-02 |
1740519057 | Mas Medical Staffing Corporation | Home Health | 30 Summer St, Suite 5, Bangor, ME 04401-6467 | 2009-12-15 |
1316171796 | Amedisys Maine, Pllc | Home Health | 23 Water St, Suite A, Bangor, ME 04401-6364 | 2009-05-13 |
1588720866 | Community Health and Counseling Services | Home Health | 42 Cedar St, Bangor, ME 04402-0425 | 2006-12-29 |
1164475281 | Eastern Maine Homecare | Home Health | 885 Union St, Suite 220, Bangor, ME 04401-3083 | 2006-05-18 |
1528045887 | Slate Belt Visiting Nurses, Inc. | Home Health | 269 Blue Valley Dr, Bangor, PA 18013-1512 | 2005-12-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013514926 | Strive Home Care LLC | Home Health | 145 Lisbon St Ste 402, Lewiston, ME 04240-7235 | 2020-10-04 |
1467067496 | Generosity Residential Service LLC | Home Health | 418 Turner St, Auburn, ME 04210-6024 | 2020-09-15 |
1033724083 | Supreme Choice Home Healthcare, LLC | Home Health | 52 Teri Cir Apt 136, Westbrook, ME 04092-3983 | 2020-09-15 |
1215549308 | Saveplus Home Care Services | Home Health | 640 Brighton Ave Ste 6, Portland, ME 04102-1047 | 2020-08-19 |
1164031688 | Nova House LLC | Home Health | 313 Stevens Ave, Portland, ME 04103-2632 | 2020-07-30 |
1699398859 | Home Sweet Home Care, LLC | Home Health | 47 Delaware Ave, South Portland, ME 04106-5916 | 2020-05-22 |
1730715509 | The Ultimate Homecare | Home Health | 23 North St Apt A, Westbrook, ME 04092-3780 | 2020-03-12 |
1083249015 | Constellation Home Care Me, LLC | Home Health | 395 Sabattus St, Lewiston, ME 04240-5429 | 2020-03-10 |
1578109104 | Silver Lining Home Health Care | Home Health | 521 Laurel Way, Hermon, ME 04401-0256 | 2019-11-19 |
1932742111 | Northeast Transit LLC | Home Health | 525 Forest Ave, Portland, ME 04101-1503 | 2019-10-21 |
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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.