Organization
CAPITAL CARE RESOURCES, LLC
Active
Parent organization
GENTIVA HEALTH SERVICES, INC.
Other names
CenterWell Home Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENTIVA HEALTH SERVICES, INC.
Authorized official
JOHN W NICHOLS (AUTHORIZED SIGNATORY)
(913) 814-2077
Entity
Organization
Contact information
Practice address
607 S MAIN ST STE L1, KING, NC 27021-9016
(336) 983-2110
(336) 983-2484
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007AE
G2
—
05
—
1396775045
—
NC
05
—
3407330
—
NC
Enumeration date
07/04/2006
Last updated
04/06/2023
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