Organization Active NPI

Gentiva Certified Healthcare Corp.

Doing business as Gentiva Health Services

  • Home Health Agency
  • Muskegon, MI
National Provider Identifier
1316973027
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GENTIVA CERTIFIED HEALTHCARE CORP.
Doing business as
Gentiva Health Services
Practice address
5906 Commerce Center Dr
Suite C
Muskegon, MI 49444-7870
Phone
(231) 798-1731
NPI assigned
Jun 24, 2006
Last updated
Jan 10, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
GENTIVA HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

5906 Commerce Center Dr
Suite C
Muskegon, MI 49444-7870

Mailing address

12900 Foster St Ste 400
Overland Park, KS 66213-2696

Other identifiers 15

IdentifierTypeStateIssuer
1015680-0001OtherMI-COMMERCIAL NUMBER
350197OtherMI-COMMERCIAL NUMBER
126683OtherMI-COMMERCIAL NUMBER
1015681-0001OtherMI-COMMERCIAL NUMBER
0E836OtherMI-COMMERCIAL NUMBER
1018492OtherMI-COMMERCIAL NUMBER
128028OtherMI-COMMERCIAL NUMBER
154362643MedicaidMI
2887417MedicaidMI
HH630017OtherMI-COMMERCIAL NUMBER
152887417MedicaidMI
1998308OtherMI-COMMERCIAL NUMBER
237135OtherMI-COMMERCIAL NUMBER
013100POtherMI-COMMERCIAL NUMBER
0E937OtherMI-COMMERCIAL NUMBER

Other names 1

  • Gentiva Health Services Doing business as

National Provider Directory

National Provider Directory
Part of
Gentiva Health Services Inc

Locations

5906 Commerce Center Dr
Ste C
Muskegon Heights, MI 49444
Phone (231) 798-1731

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1316973027",
    "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": "5906 COMMERCE CENTER DR",
            "address_2": "SUITE C",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494447870",
            "telephone_number": "231-798-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTIVA CERTIFIED HEALTHCARE CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENTIVA HEALTH SERVICES, INC.",
        "enumeration_date": "2006-06-24",
        "last_updated": "2013-01-10",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI-COMMERCIAL NUMBER",
            "identifier": "1015680-0001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI-COMMERCIAL NUMBER",
            "identifier": "350197",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI-COMMERCIAL NUMBER",
            "identifier": "126683",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI-COMMERCIAL NUMBER",
            "identifier": "1015681-0001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI-COMMERCIAL NUMBER",
            "identifier": "0E836",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI-COMMERCIAL NUMBER",
            "identifier": "1018492",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI-COMMERCIAL NUMBER",
            "identifier": "128028",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154362643",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2887417",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI-COMMERCIAL NUMBER",
            "identifier": "HH630017",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152887417",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI-COMMERCIAL NUMBER",
            "identifier": "1998308",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI-COMMERCIAL NUMBER",
            "identifier": "237135",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI-COMMERCIAL NUMBER",
            "identifier": "013100P",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI-COMMERCIAL NUMBER",
            "identifier": "0E937",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentiva Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.