Organization
VISTA HOSPICE CARE, LLC
Active
Other names
Gentiva III
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET COMBS (VP OF LICENSURE)
(704) 664-2876
Entity
Organization
Contact information
Practice address
6640 PARKDALE PL STE R, INDIANAPOLIS, IN 46254-4698
(317) 272-0975
(317) 272-1060
Mailing address
PO BOX 4060, MOORESVILLE, NC 28117-4060
(704) 664-2876
(704) 664-1306
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
12-004875-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201123190A
—
IN
Enumeration date
07/18/2012
Last updated
01/15/2025
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