Active NPI
Cedar Valley Hospice, LLC
Doing business as Gentiva II
- Community Based Hospice Care Agency
- Hiawatha, IA
National Provider Identifier
1053877332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- CEDAR VALLEY HOSPICE, LLC
- Doing business as
- Gentiva II
- Practice address
- 1850 Boyson Rd Ste a
Hiawatha, IA 52233-2316 - Phone
- (319) 249-6360
- Fax
- (855) 418-2309
- NPI assigned
- Feb 12, 2019
- Last updated
- Jan 17, 2023
- Organization subpart
- No
NPPES NPI Registry
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) 664-2876
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
1850 Boyson Rd Ste a
Hiawatha, IA 52233-2316
Mailing address
655 Brawley School Rd Ste 200
Mooresville, NC 28117-9601
Phone (704) 664-2876
Other names 1
- Gentiva II
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Heartland
- Community Based Hospice Care Agency
- Fairfax, VA
- NPI 1447959762
Member Of
Locations
1850 Boyson Rd
Ste A
Hiawatha, IA 52233
Phone (319) 249-6360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673913600000",
"number": "1053877332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 BRAWLEY SCHOOL RD STE 200",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281179601",
"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": "1850 BOYSON RD STE A",
"city": "HIAWATHA",
"state": "IA",
"postal_code": "522332316",
"telephone_number": "319-249-6360",
"fax_number": "855-418-2309"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CEDAR VALLEY HOSPICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-12",
"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": "704-664-2876",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gentiva II",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.