GENTIVA HEALTH SERVICES (CERTIFIED), INC. (NPI# 1427082122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427082122 |
| Entity Type | Organization |
| Organization Name | GENTIVA HEALTH SERVICES (CERTIFIED), INC. |
| Other Organization Name | KINDRED AT HOME |
| Practice Address |
3671 Innovation Dr Lakeland FL 33812-4106 |
| Mailing Address |
12900 Foster St Ste 400 Overland Park KS 66213-2696 |
| Practice Telephone | 8636489118 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2015-10-20 |
| Authorized Official Name | MS. RUTH C 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 |
|---|---|---|---|
| G2 | 112256479 | 01 | |
| 1H | 112645333009 | 01 | |
| G2 | 146544 | 01 | |
| G2 | 2117422 | 01 | |
| G2 | 080053 | 01 | |
| G2 | 1013683 | 01 | |
| G2 | 107937308 | 01 | |
| G2 | 112645333 | 01 | |
| G2 | 19001 | 01 | |
| G2 | 013100P | 01 | |
| G2 | 115712 | 01 | |
| G2 | 169027 | 01 | |
| G2 | 112135 | 01 |
| Other Name | Type Code |
|---|---|
| Kindred at Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194918854 | Gentiva Health Services (certified), Inc. | Home Health | 2491 Commercial Park Dr, Marianna, FL 32448-2521 | 2007-08-24 |
| 1083648950 | Gentiva Health Services (certified), Inc. | Home Health | 1013 Beck Ave, Panama City, FL 32401-1454 | 2006-07-10 |
| 1518991215 | Gentiva Health Services (certified), Inc. | Home Health | 340 Beal Pkwy Nw, Suite A, Fort Walton Beach, FL 32548-3924 | 2006-07-10 |
| 1043244742 | Gentiva Health Services (certified), Inc. | Home Health | 205 Zeagler Dr Ste 401, Palatka, FL 32177-3887 | 2006-07-10 |
| 1497789192 | Gentiva Health Services (certified), Inc. | Home Health | 4511 N Himes Ave Ste 240, Tampa, FL 33614-7085 | 2006-07-10 |
| 1689608382 | Gentiva Health Services (certified), Inc. | Home Health | 2601 Cattlemen Rd Ste 102, Sarasota, FL 34232-6282 | 2006-07-10 |
| 1669406377 | Gentiva Health Services (certified), Inc. | Home Health | 419 Sw State Road 247 Ste 109, Lake City, FL 32025-8318 | 2006-07-10 |
| 1972533180 | Gentiva Health Services (certified), Inc. | Home Health | 17240 Camelot Ct Unit 101, Land O Lakes, FL 34638-7287 | 2006-07-04 |
| 1982634101 | Gentiva Health Services (certified), Inc. | Home Health | 1709 Hermitage Blvd Ste 102, Tallahassee, FL 32308-2706 | 2006-07-04 |
| 1841229515 | Gentiva Health Services (certified), Inc. | Home Health | 311 Se 17th Pl, Ocala, FL 34471-5224 | 2006-07-03 |
| Street Address |
3671 INNOVATION DR |
| City | LAKELAND |
| State | FL |
| Zip Code | 33812-4106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891036976 | Arlene Nitza Hunt | Counselor | 5421 Us Highway 98 S, Lakeland, FL 33812 | 2013-03-14 |
| 1952648867 | Christopher Benka | Pharmacist | 5185 Us Highway 98 S, Lakeland, FL 33812 | 2013-01-11 |
| 1407105083 | Elena Kan | Dentist | 5644 Vintage View Boulevard, Lakeland, FL 33812 | 2012-08-29 |
| 1760611412 | Blanca Lilia Fernandez | Dentist | 5163 Us Highway 98 S, Lakeland, FL 33812 | 2009-07-02 |
| 1033314190 | Gustavo Alberto De Jesus-gomez | Surgery | 5907 Hillside Heights Dr., Lakeland, FL 33812 | 2007-06-19 |
| 1760600142 | Internal Medicine Specialists Medical Group Pa | Internal Medicine | 3655 Innovation Dr, Lakeland, FL 33812 | 2007-04-23 |
| 1124171475 | Sports and Orthopedic Rehabilitation Services Inc | Clinic/Center | 5155 Us Highway 98 South, Suites 5b&5c, Lakeland, FL 33812 | 2007-01-19 |
| 1356322234 | Carlos M Romero | Family Medicine | 3655 Innovation Drive, Lakeland, FL 33812 | 2005-11-08 |
| 1427055318 | Roxann Castelli Cook | Family Medicine | 2803 Meridian Point Lane, Lakeland, FL 33812 | 2005-07-07 |
| 1316577513 | Ashley Joanne Reckord | Counselor | 5421 Us Highway 98 S, Lakeland, FL 33812 | 2020-01-16 |
| Find all providers in zip 33812 | ||||
| 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 |
|---|---|---|---|---|
| 1285243105 | K.c. Home Health LLC | Home Health | 6635 S Florida Ave # C-1, Lakeland, FL 33813-3354 | 2020-07-27 |
| 1184264574 | Raquelita Dejesus | Home Health | 5545 Wilmington Cir Apt 207, Lakeland, FL 33813-2769 | 2020-01-14 |
| 1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
| 1316502735 | Tabitha Leondra Bailey | Home Health | 1710 Kendrick Ln, Lakeland, FL 33805-2506 | 2019-05-01 |
| 1346708161 | Corentheia Ann Milton | Home Health | 617 W Robson St, Lakeland, FL 33805-2138 | 2019-03-11 |
| 1679044234 | Flamingo Homecare LLC | Home Health | 1215 Duncan Ave, Lakeland, FL 33801-5923 | 2018-12-07 |
| 1679066989 | Heavenly Hearts Home Care Services, LLC | Home Health | 3567 Manor Loop, Lakeland, FL 33810-1382 | 2018-06-11 |
| 1235635681 | Ariel Kyndal Fagins | Home Health | 1725 N Webster Ave, Lakeland, FL 33805-2625 | 2018-04-04 |
| 1851802284 | Sonya Branch | Home Health | 616 Emma St, Lakeland, FL 33815-1418 | 2017-10-12 |
| 1053845875 | Precious Life Care Private Duty | Home Health | 1104 Bartow Rd, Lakeland, FL 33801-5850 | 2017-04-18 |
| Find all providers in LAKELAND | ||||
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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.