GENTIVA CERTIFIED HEALTHCARE CORP.


Address: 175 Exchange St, Suite 100, Bangor, ME 04401-6537
Phone: 2079909000

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

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 Provider/Organization Names

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

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 175 EXCHANGE ST
SUITE 100
City BANGOR
State ME
Zip Code 04401-6537

Providers in the same zip code

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
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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
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

Providers in the same taxonomy and state

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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Competitor

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City BANGOR
Zip Code 04401

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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.

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