NPIMap

Organization Active NPI

Vistacare USA, LLC

Doing business as Gentiva

  • Community Based Hospice Care Agency
  • Atlanta, GA
National Provider Identifier
1043257934
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
VISTACARE USA, LLC
Doing business as
Gentiva
Practice address
1303 Hightower TRL Ste 100
Atlanta, GA 30350-2919
Phone
(770) 952-5574
Fax
(770) 952-5575
NPI assigned
Jun 1, 2006
Last updated
Jan 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Janet Combs
Title
VP of Licensure
Phone
(704) 662-1761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

1303 Hightower TRL Ste 100
Atlanta, GA 30350-2919

Mailing address

PO Box 4060
Mooresville, NC 28117-4060
Phone (704) 664-2876

Other practice location 1

6458 Spring St Ste 100
Douglasville, GA 30134-1871
Phone (770) 489-4225

Other identifiers 2

IdentifierTypeStateIssuer
000821257DMedicaidGA
00821257AMedicaidGA

Other names 1

  • Gentiva Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050301000599 GA Part A Provider - Hospice 5597663104 Practice locations: Alpharetta, GA; Douglasville, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043257934. Details of each certification follow.

Hospice certification: CCN 111544

Legal name
VISTACARE USA, LLC
Doing business as
GENTIVA
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 1, 1995
Last certification
Oct 5, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
1120 Sanctuary Pkwy
Ste 250
Alpharetta, GA 30009-7629

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
GentivaCCN 111544 · All quality measures
Ownership
For-Profit
Certified
Aug 1, 1995
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2117628Vistacare USA, LLC Dba Gentiva1120 Sanctuary Parkway, Suite 250, Alpharetta, GA 30009Certificate of waiverAug 18, 2026

National Provider Directory

National Provider Directory
Tax ID family
Vistacare USA Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Locations

6458 Spring St
Ste 100
Douglasville, GA 30134
Phone (770) 489-4225

1303 Hightower Trl
Ste 100
Sandy Springs, GA 30350
Phone (770) 952-5574

Ownership & related parties

All disclosed owners & managing parties 24

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
CH Services Midco Holdings Inc Organization, Mooresville, NC Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Kentucky Homecare Parent Inc. Organization, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Ronald C Lazas Individual Corporate OfficerGeneral Counsel, Corporate Secretar Apr 27, 2021
Curo Health Services Holdings, Inc Organization, Mooresville, NC Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
David Robinson Arnold Individual Corporate OfficerVP and Controller Dec 31, 2021
Operational/Managerial ControlOperational/Managerial Control Dec 31, 2021
Odyssey Healthcare Inc. Organization, Louisville, KY Holding company 5% Or Greater Indirect Ownership Interest Mar 6, 2008 100%
Thomas Joseph Dolan Individual Corporate OfficerChief Financial Officer Nov 30, 2021
Tera McEachern Individual W-2 Managing EmployeeAdministrator May 22, 2022
Charlotte Midco, LLC Organization, Atlanta, GA LLC 5% Or Greater Indirect Ownership Interest Aug 11, 2022 100%
Kentucky Homecare Holdings, Inc. Organization, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Humana Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Falcon Hospice, LP Organization, Atlanta, GA 5% Or Greater Indirect Ownership Interest Aug 11, 2022 100%
David Allen Causby Individual Corporate OfficerChief Executive Officer / President Apr 27, 2021
Charlotte Buyer, Inc. Organization, Mooresville, NC Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Curo Health Services LLC Organization, Mooresville, NC LLC, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Operational/Managerial Control Jul 11, 2018
Odyssey Healthcare Holding Company Organization, Louisville, KY Holding company 5% Or Greater Indirect Ownership Interest Mar 6, 2008 100%
Janet L Combs Individual Corporate OfficerVP of Licensure Nov 1, 2021
CD&R Falcon Holdings, LP Organization, New York, NY 5% Or Greater Indirect Ownership Interest Aug 11, 2022 60%
Vista Hospice Care, LLC Organization, Louisville, KY LLC 5% Or Greater Direct Ownership Interest Aug 26, 1998 100%
Centerwell Health Services Inc Organization, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Kah Hospice Company, Inc Organization, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Vistacare LLC Organization, Louisville, KY Holding company 5% Or Greater Indirect Ownership Interest Aug 26, 1998 100%
CH Services Group Holdings Inc Organization, Mooresville, NC Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
CH Services Holdings Inc Organization, Mooresville, NC Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%

Owners & managing parties with NPI records 38

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Curo Health Services, LLC

    dba Heartland

    • Community Based Hospice Care Agency
    • Fort Wayne, IN
    • NPI 1013616515

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland

    • Community Based Hospice Care Agency
    • Wichita, KS
    • NPI 1013618180

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland Hospice (Des Moines)

    • Community Based Hospice Care Agency
    • Ames, IA
    • NPI 1043911753

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland

    • Community Based Hospice Care Agency
    • Virginia Beach, VA
    • NPI 1164121489

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland

    • Community Based Hospice Care Agency
    • Davenport, IA
    • NPI 1164123873

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland

    • Community Based Hospice Care Agency
    • Beltsville, MD
    • NPI 1184323693

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland

    • Community Based Hospice Care Agency
    • Lincoln, NE
    • NPI 1255030763

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland Hospice (Myrtle Beach)

    • Community Based Hospice Care Agency
    • Myrtle Beach, SC
    • NPI 1306545629

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland Hospice (St. Louis)

    • Community Based Hospice Care Agency
    • Saint Louis, MO
    • NPI 1437858941

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland

    • Community Based Hospice Care Agency
    • Fairfax, VA
    • NPI 1447959762

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland

    • Community Based Hospice Care Agency
    • Newport News, VA
    • NPI 1528767845

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland

    • Community Based Hospice Care Agency
    • Windsor Mill, MD
    • NPI 1558060061

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
View all 38

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
GentivaHobbs, NM, CCN 321513 Hospice 5% Or Greater Indirect Ownership Interest (100%) Mar 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 196

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 196

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1043257934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4060",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281174060",
            "telephone_number": "704-664-2876",
            "fax_number": "704-664-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 HIGHTOWER TRL STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303502919",
            "telephone_number": "770-952-5574",
            "fax_number": "770-952-5575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6458 Spring St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301341871",
            "country_code": "US",
            "telephone_number": "770-489-4225",
            "fax_number": "770-489-8471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VISTACARE USA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "VP OF LICENSURE",
        "authorized_official_telephone_number": "704-662-1761",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000821257D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00821257A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentiva",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.