NPIMap

Organization Active NPI

Gentiva Health Services

  • Home Health Agency
  • Birmingham, AL
National Provider Identifier
1295892248
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
PTH3241 Issued in AL
Legal business name
GENTIVA HEALTH SERVICES
Practice address
631 Beacon Pkwy W Ste 110
Birmingham, AL 35209-3130
Phone
(205) 945-4859
Fax
(205) 943-8527
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael Brown
Title
Physical Therapist
Phone
(205) 945-4859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X PTH3241 AL Primary

Addresses

Primary practice location

631 Beacon Pkwy W Ste 110
Birmingham, AL 35209-3130

Mailing address

631 Beacon Pkwy W Ste 110
Birmingham, AL 35209-3130
Phone (205) 945-4859

Other identifiers 1

IdentifierTypeStateIssuer
51518571OtherALPIN NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Centerwell Certified Healthcare Corp65 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 7

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

631 Beacon Pkwy W
Ste 110
Birmingham, AL 35209
Phone (205) 945-4859

Ownership & related parties

Subparts reporting this organization as parent 10

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295892248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 BEACON PKWY W STE 110",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352093130",
            "telephone_number": "205-945-4859",
            "fax_number": "205-943-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 BEACON PKWY W STE 110",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352093130",
            "telephone_number": "205-945-4859",
            "fax_number": "205-943-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTIVA HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "205-945-4859",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AL",
            "license": "PTH3241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN NUMBER",
            "identifier": "51518571",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.