NPIMap

Organization Active NPI

American Hospice, Inc.

Doing business as Gentiva

  • Community Based Hospice Care Agency
  • Livingston, TX
National Provider Identifier
1407047590
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
13607 Issued in TX
Legal business name
AMERICAN HOSPICE, INC.
Doing business as
Gentiva
Practice address
210 W Park Ste 107
Livingston, TX 77351-8338
Phone
(936) 327-5888
Fax
(936) 327-5899
NPI assigned
Aug 5, 2007
Last updated
Oct 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
Ms. Janet Combs
Title
VP, Licensure
Phone
(704) 664-2876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 13607 TX Primary

Addresses

Primary practice location

210 W Park Ste 107
Livingston, TX 77351-8338

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
001019180MedicaidTX

Other names 1

  • Gentiva Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080609000499 TX Part A Provider - Hospice 3971587726 Practice locations: Livingston, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407047590. Details of each certification follow.

Hospice certification: CCN 671609

Legal name
AMERICAN HOSPICE, INC.
Doing business as
GENTIVA
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 11, 2008
Last certification
Feb 26, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Apr 26, 1993 in TX
Enrollment address
210 W Park
Ste 107
Livingston, TX 77351-8338

Care Compare: Hospice

Medicare Care Compare
Listed as
GentivaCCN 671609 · All quality measures
Ownership
For-Profit
Certified
Dec 11, 2008
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
45D2160586American Hospice, Inc210 West Park Drive, Suite 107, Livingston, TX 77351Certificate of waiverJan 13, 2027

National Provider Directory

National Provider Directory
Tax ID family
American Hospice Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 20

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, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Kentucky Homecare Parent Inc. Organization, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Ronald C Lazas Individual Corporate OfficerExecutive VP and General Counsel Apr 27, 2021
Corporate DirectorBoard Member Dec 31, 2021
Curo Health Services Holdings, Inc Organization, Mooresville, NC Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
David Robinson Arnold Individual Corporate OfficerVP and Controller Dec 31, 2021
Operational/Managerial ControlHome Office Administrator Dec 31, 2021
Thomas Joseph Dolan Individual Corporate OfficerChief Financial Officer Nov 30, 2021
Charlotte Midco, LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 100%
Kentucky Homecare Holdings, Inc. Organization, Atlanta, GA Corporation, 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%
Falcon Hospice, LP Organization, Atlanta, GA For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 100%
David Allen Causby Individual Corporate OfficerChief Executive Officer & President Apr 27, 2021
Corporate DirectorBoard Member Dec 31, 2021
Charlotte Buyer, Inc. Organization, Mooresville, NC Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Joseph Daniel Crawford Individual W-2 Managing EmployeeAdministrator Sep 15, 2023
Curo Health Services LLC Organization, Mooresville, NC LLC, For-profit 5% Or Greater Direct Ownership Interest Mar 1, 2022 100%
Operational/Managerial Control Mar 1, 2022
Janet L Combs Individual Corporate OfficerVice President, Licensure Nov 1, 2021
CD&R Falcon Holdings, LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 60%
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, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
CH Services Group Holdings Inc Organization, Mooresville, NC Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
CH Services Holdings Inc Organization, Mooresville, NC Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%

Owners & managing parties with NPI records 18

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

  • Curo Health Services, LLC

    dba Heartland

    • Community Based Hospice Care Agency
    • Fort Wayne, IN
    • NPI 1013616515

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland

    • Community Based Hospice Care Agency
    • Wichita, KS
    • NPI 1013618180

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland Hospice (Des Moines)

    • Community Based Hospice Care Agency
    • Ames, IA
    • NPI 1043911753

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland

    • Community Based Hospice Care Agency
    • Virginia Beach, VA
    • NPI 1164121489

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland

    • Community Based Hospice Care Agency
    • Davenport, IA
    • NPI 1164123873

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland

    • Community Based Hospice Care Agency
    • Beltsville, MD
    • NPI 1184323693

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland

    • Community Based Hospice Care Agency
    • Lincoln, NE
    • NPI 1255030763

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland Hospice (Myrtle Beach)

    • Community Based Hospice Care Agency
    • Myrtle Beach, SC
    • NPI 1306545629

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland Hospice (St. Louis)

    • Community Based Hospice Care Agency
    • Saint Louis, MO
    • NPI 1437858941

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland

    • Community Based Hospice Care Agency
    • Fairfax, VA
    • NPI 1447959762

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland

    • Community Based Hospice Care Agency
    • Newport News, VA
    • NPI 1528767845

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland

    • Community Based Hospice Care Agency
    • Windsor Mill, MD
    • NPI 1558060061

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
View all 18

Facilities with the same owner 195

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 195

Practitioners & affiliated clinicians

Affiliated clinicians 6

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

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1407047590",
    "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": "210 W PARK STE 107",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773518338",
            "telephone_number": "936-327-5888",
            "fax_number": "936-327-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "VP, LICENSURE",
        "authorized_official_telephone_number": "704-664-2876",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "13607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001019180",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentiva",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livingston, TX

Sources for this page

Verify at the official NPI Registry.