Organization
VISTACARE USA, LLC
Active
Other names
Gentiva I
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET COMBS (VP OF LICENSURE)
(704) 664-2876
Entity
Organization
Contact information
Practice address
4134 S 7TH ST, TERRE HAUTE, IN 47802-4123
(812) 478-3250
(812) 478-2470
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200141370C
—
IN
Enumeration date
05/25/2006
Last updated
01/15/2025
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