Active NPI
Gentiva Certified Healthcare Corp.
- Home Health Agency
- Tulsa, OK
National Provider Identifier
1093742918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GENTIVA CERTIFIED HEALTHCARE CORP.
- Practice address
- 5314 S Yale Ave
Suite 500
Tulsa, OK 74135-6256 - Phone
- (918) 488-6153
- Fax
- (918) 488-8048
- NPI assigned
- Jun 27, 2006
- 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
- Ruth Schwartz
- Title
- Assistant Secretary
- Phone
- (913) 814-2288
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
5314 S Yale Ave
Suite 500
Tulsa, OK 74135-6256
Mailing address
12900 Foster St Ste 400
Overland Park, KS 66213-2696
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100260400 G | Medicaid | OK | |
| 100260400U | Medicaid | OK | |
| 000377442002 | Other | OK-COMMERCIAL NUMBER | |
| 095190 | Other | OK-COMMERCIAL NUMBER | |
| 100260400C | Other | OK-COMMERCIAL NUMBER | |
| 113414024D | Other | OK-COMMERCIAL NUMBER | |
| 100260400Q | Medicaid | OK | |
| 1020615 | Other | OK-COMMERCIAL NUMBER | |
| 0003032739 | Other | OK-COMMERCIAL NUMBER | |
| 013100P | Other | OK-COMMERCIAL NUMBER | |
| 100260400L | Medicaid | OK | |
| 112135 | Other | OK-COMMERCIAL NUMBER | |
| 2366169 | Other | OK-COMMERCIAL NUMBER | |
| 29109 | Other | OK-COMMERCIAL NUMBER | |
| 100260400A | Medicaid | OK | |
| 100260400B | Other | OK-COMMERCIAL NUMBER | |
| 100260400G | Medicaid | OK |
Other names 1
- Kindred at Home III
National Provider Directory
National Provider DirectoryLocations
5314 S Yale Ave
Ste 500
Tulsa, OK 74135
Phone (918) 488-6153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487116800000",
"number": "1093742918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12900 FOSTER ST STE 400",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662132696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5314 S YALE AVE",
"address_2": "SUITE 500",
"city": "TULSA",
"state": "OK",
"postal_code": "741356256",
"telephone_number": "918-488-6153",
"fax_number": "918-488-8048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENTIVA CERTIFIED HEALTHCARE CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-27",
"last_updated": "2017-02-15",
"status": "A",
"authorized_official_last_name": "SCHWARTZ",
"authorized_official_first_name": "RUTH",
"authorized_official_title_or_position": "ASSISTANT SECRETARY",
"authorized_official_telephone_number": "913-814-2288"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100260400 G",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100260400U",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OK-COMMERCIAL NUMBER",
"identifier": "000377442002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OK-COMMERCIAL NUMBER",
"identifier": "095190",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OK-COMMERCIAL NUMBER",
"identifier": "100260400C",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OK-COMMERCIAL NUMBER",
"identifier": "113414024D",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100260400Q",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OK-COMMERCIAL NUMBER",
"identifier": "1020615",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OK-COMMERCIAL NUMBER",
"identifier": "0003032739",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OK-COMMERCIAL NUMBER",
"identifier": "013100P",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100260400L",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OK-COMMERCIAL NUMBER",
"identifier": "112135",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OK-COMMERCIAL NUMBER",
"identifier": "2366169",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OK-COMMERCIAL NUMBER",
"identifier": "29109",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100260400A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OK-COMMERCIAL NUMBER",
"identifier": "100260400B",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100260400G",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kindred at Home III",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.