Organization
GILBERT'S HOME HEALTH AGENCY, INC.
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 NICHOLS (AUTHORIZED SIGNATORY)
(662) 844-9725
Entity
Organization
Contact information
Practice address
3402 W MAIN ST, TUPELO, MS 38801-9412
(662) 844-9725
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
—
000070620
BLUE CROSS
MS
05
—
0770177
—
MS
Enumeration date
06/23/2005
Last updated
09/06/2022
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