Organization Active NPI

Vista Hospice Care, LLC

  • Community Based Hospice Care Agency
  • Reno, NV
National Provider Identifier
1043265341
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
VISTA HOSPICE CARE, LLC
Practice address
9484 Double R Blvd Ste a
Reno, NV 89521-2993
Phone
(775) 825-5008
Fax
(775) 853-4593
NPI assigned
May 24, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Janet Combs
Title
VP of Licensure
Phone
(704) 662-1761

Owners & managing parties with NPI records 36

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

View all 36

Owned or controlled facilities with NPI records 12

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

Other NPIs with the same Medicare PAC ID 2

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

Corporate family (same tax ID) 3

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

Member of 2

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

Facilities with the same owner 196

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

View all 196

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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

Care Compare: Hospice

Medicare Care Compare
Listed as
GentivaCCN 291507
Ownership
For-Profit
Certified
Jun 12, 1998
Medicare certification status
Active (Provider of Services file)

Medicare participation

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

Hospice certification: CCN 291507

Medicare enrollment files
Legal name
VISTA HOSPICE CARE, LLC
Doing business as
GENTIVA
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 12, 1998
Last certification
Mar 7, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
9484 Double R Blvd
Ste a
Reno, NV 89521-2993

All disclosed owners & managing parties 24

Medicare enrollment files

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

NameRoleSinceShare
Michelle Bailey Individual W-2 Managing EmployeeAdministrator Dec 17, 2023
CH Services Midco Holdings Inc Organization, Mooresville, NC Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
CH Services Group Holdings, Inc. Organization, Mooresville, NC Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Kentucky Homecare Parent Inc. Organization, Louisville, KY Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Ronald C Lazas Individual Corporate OfficerEvp and General Counsel Apr 27, 2021
Corporate DirectorBoard Member Apr 27, 2021
Curo Health Services Holdings, Inc Organization, Mooresville, NC Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
David Robinson Arnold Individual Corporate OfficerVP, Controler and Treasurer Dec 31, 2021
Odyssey Healthcare Inc. Organization, Atlanta, GA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 6, 2008 100%
Thomas Joseph Dolan Individual Corporate OfficerChief Financial Officer Nov 30, 2021
Charlotte Midco, LLC Organization, Atlanta, GA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 11, 2022 100%
Kentucky Homecare Holdings, Inc. Organization, Louisville, KY Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Humana Inc Organization, Louisville, KY Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Falcon Hospice, LP Organization, Atlanta, GA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 11, 2022 100%
David Allen Causby Individual Corporate OfficerChief Executive Officer Apr 27, 2021
Corporate DirectorBoard Member Apr 27, 2021
Charlotte Buyer, Inc. Organization, Mooresville, NC Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Curo Health Services LLC Organization, Mooresville, NC LLC, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Odyssey Healthcare Holding Company Organization, Atlanta, GA Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 6, 2008 100%
Janet L Combs Individual Corporate OfficerVP Licensure, Authorized Official Nov 1, 2021
CD&R Falcon Holdings, LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 60%
Nita Sandhu Schwartz Individual Contracted Managing EmployeeMD; Jan 12, 2024
Centerwell Health Services Inc Organization, Louisville, KY Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Kah Hospice Company, Inc Organization, Atlanta, GA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
CH Services Holdings, Inc. Organization, Mooresville, NC Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Vistacare LLC Organization, Atlanta, GA LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 28, 1998 100%

All facility ownership & control disclosures 12

Medicare enrollment files

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

FacilityTypeRoleSince
Gentiva IGreenwood, IN, CCN 151586 Hospice 5% Or Greater Direct Ownership Interest (100%) Apr 17, 1998
GentivaColumbus, GA, CCN 111560 Hospice 5% Or Greater Direct Ownership Interest (100%) Aug 26, 1998
GentivaWarner Robins, GA, CCN 111559 Hospice 5% Or Greater Direct Ownership Interest (100%) Aug 26, 1998
GentivaHobbs, NM, CCN 321513 Hospice 5% Or Greater Indirect Ownership Interest (100%) Mar 1, 2022
GentivaAuburn, AL, CCN 011602 Hospice 5% Or Greater Direct Ownership Interest (100%) Jun 5, 2003
GentivaAlpharetta, GA, CCN 111544 Hospice 5% Or Greater Direct Ownership Interest (100%) Aug 26, 1998
Gentiva IJeffersonville, IN, CCN 151557 Hospice 5% Or Greater Direct Ownership Interest (100%) Aug 27, 1998
GentivaGreenville, SC, CCN 421534 Hospice 5% Or Greater Direct Ownership Interest (100%) Aug 27, 1998
Gentiva IColumbus, OH, CCN 361573 Hospice 5% Or Greater Direct Ownership Interest (100%) Aug 26, 1998
Gentiva IEvansville, IN, CCN 151558 Hospice 5% Or Greater Direct Ownership Interest (100%) Apr 17, 1998
Gentiva IBlue Bell, PA, CCN 391622 Hospice 5% Or Greater Direct Ownership Interest (100%) Aug 27, 1998
Gentiva ITerre Haute, IN, CCN 151592 Hospice 5% Or Greater Direct Ownership Interest (100%) Mar 7, 2006

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20040602000630 NV Part a Provider - Hospice 6406754019 Practice locations: Carson City, NV; Reno, NV

National Provider Directory

National Provider Directory
Tax ID family
Vista Hospice Care Inc (4 organizations share this tax ID)

Locations

730 Main St
Ste 730
Rochester, IN 46975

5345 Reno Corporate Dr
Bldg 3
Reno, NV 89511

9484 Double R Blvd
Ste A
Reno, NV 89521
Phone (775) 825-5008

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

9484 Double R Blvd Ste a
Reno, NV 89521-2993

Mailing address

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

Other practice location 1

1761 College Pkwy Ste 113
Carson City, NV 89706-7954
Phone (775) 882-5735

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
006416005MedicaidNV
6516005HOSPMedicaidNV

Other names 1

NPPES NPI Registry
  • Gentiva Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 11, 2023.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1043265341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4060",
            "address_2": "ATTN: REGULATORY",
            "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": "9484 DOUBLE R BLVD STE A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895212993",
            "telephone_number": "775-825-5008",
            "fax_number": "775-853-4593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1761 College Pkwy Ste 113",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897067954",
            "country_code": "US",
            "telephone_number": "775-882-5735",
            "fax_number": "775-882-5723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VISTA HOSPICE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "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"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006416005",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6516005HOSP",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentiva",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.