GENTIVA CERTIFIED HEALTHCARE CORP. (NPI# 1003848375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003848375 |
| Entity Type | Organization |
| Organization Name | GENTIVA CERTIFIED HEALTHCARE CORP. |
| Practice Address |
925 E Superior St Suite 104 Duluth MN 55802-2253 |
| Mailing Address |
12900 Foster St Ste 400 Overland Park KS 66213-2696 |
| Practice Telephone | 2187238999 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2017-12-27 |
| Authorized Official Name | RUTH SCHWARTZ (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 9138142288 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 023355200 | 05 | |
| MN-COMMERCIAL NUMBER | 5900031 | 01 | |
| MN-COMMERCIAL NUMBER | 169027 | 01 | |
| MN-COMMERCIAL NUMBER | ANC015 | 01 | |
| MN-COMMERCIAL NUMBER | 013100P | 01 | |
| MN-COMMERCIAL NUMBER | 109673 | 01 | |
| MN | 169027 | 05 | |
| MN-COMMERCIAL NUMBER | 4117KI | 01 | |
| MN | 4117KI | 05 | |
| MN-COMMERCIAL NUMBER | GA0785 | 01 | |
| MN-COMMERCIAL NUMBER | 247241 | 01 | |
| MN | 5900031 | 05 | |
| MN-COMMERCIAL NUMBER | 991234 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922387976 | Gentiva Certified Healthcare Corp. | Nursing Care | 105 Citation Drive, Suite B, Danville, KY 40422-8633 | 2011-08-09 |
| 1487987335 | Gentiva Certified Healthcare Corp. | Home Health | 505 S Main St Ste 132, Las Cruces, NM 88001-1206 | 2009-09-10 |
| 1952537714 | Gentiva Certified Healthcare Corp. | Home Health | 2600 Old North Hills St, Meridian, MS 39305-1600 | 2009-06-08 |
| 1457587404 | Gentiva Certified Healthcare Corp. | Home Health | 114 N Academy Ave, Butler, AL 36904-2206 | 2009-06-04 |
| 1285899526 | Gentiva Certified Healthcare Corp. | Home Health | 4975 Lacross Rd, Suite 354, North Charleston, SC 29406-6531 | 2008-07-25 |
| 1578626321 | Gentiva Certified Healthcare Corp. | Home Health | 2000 Frontis Plaza Blvd Ste 302, Winston Salem, NC 27103-5616 | 2006-12-19 |
| 1093738072 | Gentiva Certified Healthcare Corp. | Home Health | 3150 N Elm Street, Suite 102, Greensboro, NC 27408-3881 | 2006-07-25 |
| 1437175338 | Gentiva Certified Healthcare Corp. | Home Health | 9009 Perimeter Woods Drive, Suite C, Charlotte, NC 28216-0040 | 2006-07-14 |
| 1023042264 | Gentiva Certified Healthcare Corp. | Home Health | 1250 N 9th St, Suite 105, Stroudsburg, PA 18360-7800 | 2006-07-11 |
| 1982638771 | Gentiva Certified Healthcare Corp. | Home Health | 175 Exchange St, Suite 100, Bangor, ME 04401-6537 | 2006-07-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | GENTIVA CERTIFIED HEALTHCARE CORP. | 3350 Riverwood Pkwy Ste 1400, Atlanta, Georgia 30339 |
| Colorado Business Entities | GENTIVA CERTIFIED HEALTHCARE CORP. | 680 South Fourth Street, Louisville, KY 40202 |
| Massachusetts Corporations | GENTIVA CERTIFIED HEALTHCARE CORP. | 680 South Fourth Street, Louisville, KY 40202 |
| Oregon Corporations, Companies and Business Names | GENTIVA CERTIFIED HEALTHCARE CORP. | 3350 Riverwood Parkway Suite 1400, Atlanta, GA 30339 |
| Iowa Business Entities | GENTIVA CERTIFIED HEALTHCARE CORP. | 3350 Riverwood Parkway, Suite 1400, Atlanta, GA 30339 |
| Indiana Business Entities | GENTIVA CERTIFIED HEALTHCARE CORP. | 3350 Riverwood Parkway, Ste. 1400, Atlanta, GA 30339 |
| Oklahoma Business Registrations | GENTIVA CERTIFIED HEALTHCARE CORP. | 3 Huntington Quadrangle, Melville, NY 11747 |
| Street Address |
925 E SUPERIOR ST SUITE 104 |
| City | DULUTH |
| State | MN |
| Zip Code | 55802-2253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336126317 | Fredrick E Ekberg | Radiology | 925 E Superior St, Suite 109, Duluth, MN 55802-2238 | 2005-12-29 |
| 1659600435 | Christopher Mark Reilly | Radiology | 925 E Superior St, Ste 109, Duluth, MN 55802-2238 | 2009-12-08 |
| 1023297017 | Rebecca Lynn Kuntz | Radiology | 925 E Superior St, Suite 109, Duluth, MN 55802-2238 | 2007-10-26 |
| 1629287792 | Home Dialysis Duluth Kidney Services | Internal Medicine | 925 E Superior St, Suite 106, Duluth, MN 55802-2238 | 2007-05-22 |
| 1962610923 | Novacare Outpatient Rehabilitation East Inc | Durable Medical Equipment & Medical Supplies | 925 E Superior St, Suite 107, Duluth, MN 55802-2238 | 2007-05-21 |
| 1881733061 | James T Jarosz | Dentist | 925 E Superior St, Suite 101, Duluth, MN 55802-2238 | 2007-02-05 |
| 1295880045 | Kathrynne Marie Dryke | Dentist | 925 E Superior St, 101, Duluth, MN 55802-2238 | 2007-01-24 |
| 1932256948 | Mary S Nett | Radiology | 925 E Superior St, Suite 109, Duluth, MN 55802-2238 | 2007-01-04 |
| 1174670186 | William E. Johnson | Radiology | 925 E Superior St, Suite109, Duluth, MN 55802-2238 | 2007-01-04 |
| 1912932922 | Calvin Cardin Loken | Specialist | 925 E Superior St, Duluth, MN 55802-2238 | 2006-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063915239 | Jpw Counseling & Consultation | Social Worker | 302 W Superior St Ste 508, Duluth, MN 55802 | 2018-03-14 |
| 1134664311 | Amp Group, LLC | Counselor | 331 West Superior Street, Duluth, MN 55802 | 2016-12-27 |
| 1982151361 | Tiffany Riester | Counselor | 332 W Superior Street, Suite 300, Duluth, MN 55802 | 2016-09-02 |
| 1730635392 | Karina Krosbakken | Counselor | 332 W. Superior St., Suite 300, Duluth, MN 55802 | 2016-09-01 |
| 1437559051 | Natalie R Zwak | Dietitian, Registered | 26 E Superior St Ste 315, Duluth, MN 55802 | 2014-09-02 |
| 1447679279 | Valerie Lou Shelton | Registered Nurse | 118 E Superior St., Duluth, MN 55802 | 2014-04-09 |
| 1285063115 | Brian Bergstedt | Counselor | 332 West Superior Street, Suite 300, Duluth, MN 55802 | 2013-11-01 |
| 1508135948 | Karen Dee Turner | Counselor | 202 W. Superior Street, Suite 700, Duluth, MN 55802 | 2011-12-14 |
| 1497023410 | Jean Barrie Mcbride | Pharmacist | 1131 East Superior Street, Duluth, MN 55802 | 2011-12-05 |
| 1194092304 | Diane Murphy Winship | Pharmacist | 1331 Superior St, Duluth, MN 55802 | 2011-11-17 |
| Find all providers in zip 55802 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225645310 | Quantum Grace Solutions LLC | Home Health | 6555 Sugarloaf Pkwy Ste 307-106, Duluth, GA 30097-4930 | 2020-09-23 |
| 1790303444 | Latravia Lishell Williams | Home Health | 1335 Herrington Rd Apt 2722, Duluth, GA 30096-6422 | 2020-07-09 |
| 1528685138 | M. A. Health Services, Inc. | Home Health | 3973 Stillwater Dr, Duluth, GA 30096-5589 | 2020-06-30 |
| 1639795610 | Dunamis Healthcare Services | Home Health | 2028 The Falls Pkwy, Duluth, GA 30096-8805 | 2020-06-25 |
| 1598233231 | Provider Partners, LLC Dba Your Virtual Clincial | Home Health | 1815 Satellite Blvd Ste 403, Duluth, GA 30097-5239 | 2018-11-12 |
| 1427532704 | 1st Option Healthcare,llc | Home Health | 1810 Peachtree Industrial Blvd Ste 215, Duluth, GA 30097-8177 | 2018-09-21 |
| 1306326475 | Caringcompanions Home Care Services LLC | Home Health | 3121 Barkley Square Dr, Duluth, GA 30097-3453 | 2018-08-18 |
| 1306359179 | Anthony Olajide | Home Health | 3780 Old Norcross Rd # 103-366, Duluth, GA 30096-1740 | 2017-11-14 |
| 1437678885 | Teleigha L Peavy | Home Health | 2695 Kingsbrooke Ln, Duluth, GA 30097-7392 | 2017-09-18 |
| 1194250233 | Katie T Dang | Home Health | 4370 Satellite Blvd, #834, Duluth, GA 30096-8843 | 2017-04-26 |
| Find all providers in DULUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.