NPIMap

Organization Active NPI

Gentiva Health Services (USA), Inc.

  • Home Health Agency
  • Tacoma, WA
National Provider Identifier
1396776902
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GENTIVA HEALTH SERVICES (USA), INC.
Practice address
4020 S 56TH St
Suite 101
Tacoma, WA 98409-2615
Phone
(253) 475-6862
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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 Primary

Addresses

Primary practice location

4020 S 56TH St
Suite 101
Tacoma, WA 98409-2615

Mailing address

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

Other identifiers 18

IdentifierTypeStateIssuer
112645333-98409OtherWA-CHAMPUS
1173OtherWA-BLUE CROSS
9041583MedicaidWA
300066150OtherWA-COMMERCIAL NUMBER
9019159MedicaidWA
9041161MedicaidWA
135183OtherWA-COMMERCIAL NUMBER
565800OtherWA-COMMERCIAL NUMBER
321563001OtherWA-COMMERCIAL NUMBER
321563003OtherWA-COMMERCIAL NUMBER
507031OtherWA-COMMERCIAL NUMBER
112645333OtherWA-CHAMPUS
651-YIOtherWA-COMMERCIAL NUMBER
7271048OtherWA-COMMERCIAL NUMBER
2223178OtherWA-COMMERCIAL NUMBER
013100POtherWA-COMMERCIAL NUMBER
1014837OtherWA-COMMERCIAL NUMBER
112645333OtherWA-COMMERCIAL NUMBER

Other names 1

  • Kindred at Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gentiva Health Services USA Inc18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

4020 S 56th St
Ste 101
Tacoma, WA 98409
Phone (253) 380-7736

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1396776902",
    "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": "4020 S 56TH ST",
            "address_2": "SUITE 101",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984092615",
            "telephone_number": "253-475-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTIVA HEALTH SERVICES (USA), INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2018-08-17",
        "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": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA-CHAMPUS",
            "identifier": "112645333-98409",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA-BLUE CROSS",
            "identifier": "1173",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9041583",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA-COMMERCIAL NUMBER",
            "identifier": "300066150",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9019159",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9041161",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA-COMMERCIAL NUMBER",
            "identifier": "135183",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA-COMMERCIAL NUMBER",
            "identifier": "565800",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA-COMMERCIAL NUMBER",
            "identifier": "321563001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA-COMMERCIAL NUMBER",
            "identifier": "321563003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA-COMMERCIAL NUMBER",
            "identifier": "507031",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA-CHAMPUS",
            "identifier": "112645333",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA-COMMERCIAL NUMBER",
            "identifier": "651-YI",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA-COMMERCIAL NUMBER",
            "identifier": "7271048",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA-COMMERCIAL NUMBER",
            "identifier": "2223178",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA-COMMERCIAL NUMBER",
            "identifier": "013100P",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA-COMMERCIAL NUMBER",
            "identifier": "1014837",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA-COMMERCIAL NUMBER",
            "identifier": "112645333",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.