NPIMap

Organization Active NPI

Vistacare USA, LLC

  • Community Based Hospice Care Agency
  • Columbus, OH
National Provider Identifier
1366498305
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
VISTACARE USA, LLC
Practice address
2 Easton Oval
Suite 110
Columbus, OH 43219-8031
Phone
(614) 414-0500
Fax
(614) 414-0502
NPI assigned
May 25, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ms. Janet Combs
Title
VP of Licensure
Phone
(704) 664-2876

Owners & managing parties with NPI records 39

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

View all 39

Owned or controlled facilities with NPI records 1

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

Other NPIs with the same Medicare PAC ID 10

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

Member of 3

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

Affiliated clinicians 1

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Gentiva ICCN 361573
Ownership
For-Profit
Certified
Feb 16, 1994
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2156633Vistacare USA, LLC Dba Gentiva I2 Easton Oval, Suite 110, Columbus, OH 43219Certificate of waiverOct 21, 2026

Medicare participation

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

Hospice certification: CCN 361573

Legal name
VISTACARE USA, LLC
Doing business as
GENTIVA I
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 16, 1994
Last certification
Mar 22, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
2 Easton Oval
Ste 110
Columbus, OH 43219-6042

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050713000235 OH Part A Provider - Hospice 5597663104 Practice locations: Columbus, OH

All disclosed owners & managing parties 25

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
CH Services Midco Holdings Inc Organization, Mooresville, NC Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Kentucky Homecare Parent Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Ronald C Lazas Individual Corporate OfficerSecretary and Gen Counsel Apr 27, 2021
Corporate DirectorBoard Member Apr 27, 2021
Curo Health Services Holdings, Inc Organization, Mooresville, NC Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
David Robinson Arnold Individual Corporate OfficerVP and Treasurer Dec 31, 2021
Odyssey Healthcare Inc. Organization, Atlanta, GA Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Mar 6, 2008 100%
Thomas Joseph Dolan Individual Corporate OfficerChief Financial Officer Nov 30, 2021
Vincent K Chu Individual W-2 Managing EmployeeMD; Oct 1, 2007
Charlotte Midco, LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 100%
Kentucky Homecare Holdings, Inc. Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Humana Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Kristen Paugh Individual W-2 Managing EmployeeAd; Jan 1, 2023
Falcon Hospice, LP Organization, Atlanta, GA For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 100%
David Allen Causby Individual Corporate OfficerCeo and President Apr 27, 2021
Corporate DirectorBoard Member Apr 27, 2021
Charlotte Buyer, Inc. Organization, Mooresville, NC Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Curo Health Services LLC Organization, Mooresville, NC LLC, For-profit, Chain home office 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Odyssey Healthcare Holding Company Organization, Atlanta, GA Corporation, Holding company, For-profit 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 Holding company 5% Or Greater Indirect Ownership Interest Aug 11, 2022 60%
Vista Hospice Care, LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Direct Ownership Interest Aug 26, 1998 100%
Centerwell Health Services Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 22, 2022 40%
Kah Hospice Company, Inc Organization, Louisville, KY Created for acquisition, Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Vistacare LLC Organization, Atlanta, GA LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Aug 26, 1998 100%
CH Services Group Holdings Inc Organization, Mooresville, NC Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
CH Services Holdings Inc Organization, Mooresville, NC Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%

All facility ownership & control disclosures 1

Medicare enrollment files

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

FacilityTypeRoleSince
GentivaHobbs, NM, CCN 321513 Hospice 5% Or Greater Indirect Ownership Interest (100%) Mar 1, 2022

National Provider Directory

National Provider Directory
Tax ID family
Vistacare USA Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

540 Officenter Pl
Ste 100
Gahanna, OH 43230
Phone (614) 414-0500

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

2 Easton Oval
Suite 110
Columbus, OH 43219-8031

Mailing address

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

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
2095496MedicaidOH

Other names 1

NPPES NPI Registry
  • Gentiva I 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 Aug 28, 2024.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1366498305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4060",
            "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": "2 EASTON OVAL",
            "address_2": "SUITE 110",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432198031",
            "telephone_number": "614-414-0500",
            "fax_number": "614-414-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTACARE USA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2095496",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentiva I",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.