Organization
GENTIVA HEALTH SERVICES (CERTIFIED), INC.
Active
Other names
Kindred at Home
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH C SCHWARTZ (ASSISTANT SECRETARY)
(913) 814-2288
Entity
Organization
Contact information
Practice address
4700 BAYOU BLVD STE 1C, PENSACOLA, FL 32503-2670
(850) 477-5800
Mailing address
12900 FOSTER ST STE 400, OVERLAND PARK, KS 66213-2696
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013100P
G2
—
01
—
070425
G2
—
01
—
080053
G2
—
01
—
1016449
G2
—
01
—
107937332
G2
—
01
—
11-3414024
G2
—
01
—
11225647902
G2
—
01
—
112645333
G2
—
01
—
113414024G
G2
—
01
—
146544
G2
—
01
—
2117447
G2
—
01
—
2338051
G2
—
01
—
235397
G2
—
01
—
6000055
G2
—
Enumeration date
07/03/2006
Last updated
12/23/2015
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