Organization Active NPI

Tnmo Healthcare, LLC

Doing business as Gentiva

  • Community Based Hospice Care Agency
  • Joplin, MO
National Provider Identifier
1609827468
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
104-8HO Issued in MO
Legal business name
TNMO HEALTHCARE, LLC
Doing business as
Gentiva
Practice address
2024 S Maiden LN Ste 202
Joplin, MO 64804-0319
Phone
(417) 782-6811
Fax
(417) 782-6854
NPI assigned
May 15, 2006
Last updated
Jan 3, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
TNMO HEALTHCARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Authorized official

Name
Janet Combs
Title
VP of Licensure
Phone
(704) 662-1761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 104-8HO MO Primary

Addresses

Primary practice location

2024 S Maiden LN Ste 202
Joplin, MO 64804-0319

Mailing address

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

Other practice location 1

101 E Main St
Neosho, MO 64850-1810
Phone (417) 212-0888

Other practice location 2

432 W Fir Rd Ste A
Carthage, MO 64836-3707
Phone (417) 313-8536

Other identifiers 1

IdentifierTypeStateIssuer
1609827468MedicaidMO

Other names 1

  • Gentiva Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090320000463 MO Part A Provider - Hospice 5496812331 Practice locations: Carthage, MO; Joplin, MO; Neosho, MO; Springfield, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609827468. Details of each certification follow.

Hospice certification: CCN 261585

Legal name
TNMO HEALTHCARE, LLC
Doing business as
GENTIVA
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 10, 2000
Last certification
Apr 12, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
2024 S Maiden LN
Ste 202
Joplin, MO 64804-0319

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Hospice

Medicare Care Compare
Listed as
GentivaCCN 261585 · All quality measures
Ownership
For-Profit
Certified
Feb 10, 2000
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
26D0962899Tnmo Healthcare, LLC Dba Gentiva2024 Maiden Lane, Suite 202, Joplin, MO 64804Certificate of waiverJul 15, 2027

National Provider Directory

National Provider Directory
Tax ID family
Tnmo Healthcare LLC2 organizations share this tax ID, including this one
Part of
Tnmo Healthcare LLC

Other organizations with this tax ID 1

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.

Locations

432 W Fir Rd
Ste A
Carthage, MO 64836
Phone (417) 313-8536

2024 S Maiden Ln
Ste 202
Joplin, MO 64804
Phone (417) 782-6811

655 Brawley School Rd
Mooresville, NC 28117

Ownership & related parties

All disclosed owners & managing parties 24

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lisa a Kienzle Individual W-2 Managing EmployeeAdministrator Feb 15, 2021
Christine Fowler Individual W-2 Managing EmployeeAd; Nov 19, 2023
CH Services Midco Holdings Inc Organization, Mooresville, NC Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Feb 5, 2015 100%
Kentucky Homecare Parent Inc. Organization, Louisville, KY Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Ronald C Lazas Individual Corporate OfficerEvp, Corp Sec and General Counsel Apr 27, 2021
Curo Health Services Holdings, Inc Organization, Mooresville, NC Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 6, 2014 100%
David Robinson Arnold Individual Corporate OfficerVP, Treasurer and Controller Dec 31, 2021
Operational/Managerial ControlChain Home 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, Louisville, KY Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 22, 2022 40%
Humana Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2011 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
Regency Healthcare Holdings LLC Organization, Mooresville, NC LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 15, 2011 100%
Charlotte Buyer, Inc. Organization, Mooresville, NC Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 100%
Curo Health Services LLC Organization, Mooresville, NC LLC, For-profit 5% Or Greater Indirect Ownership Interest Jun 6, 2014 100%
Operational/Managerial Control Nov 9, 2011
Janet L Combs Individual Corporate OfficerVP, Licensure Nov 1, 2021
CD&R Falcon Holdings, LP Organization, New York, NY Holding company, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 60%
Centerwell Health Services Inc Organization, Louisville, KY Corporation, For-profit, Owned by another organization or individual 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 Aug 11, 2022 100%
Regency Healthcare Group LLC Organization, Mooresville, NC LLC, For-profit 5% Or Greater Direct Ownership Interest Dec 19, 2008 100%
CH Services Group Holdings Inc Organization, Mooresville, NC Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Feb 5, 2015 100%
CH Services Holdings Inc Organization, Mooresville, NC Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Feb 5, 2015 100%
Craig L Pendergrass Individual Contracted Managing EmployeeMD; May 20, 2009

Owners & managing parties with NPI records 19

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

View all 19

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
GentivaNashville, TN, CCN 441545 Hospice 5% Or Greater Direct Ownership Interest (100%) Jun 20, 1994

Owned or controlled facilities with NPI records 1

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

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 11

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": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1609827468",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 S MAIDEN LN STE 202",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648040319",
            "telephone_number": "417-782-6811",
            "fax_number": "417-782-6854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 E Main St",
            "address_purpose": "LOCATION",
            "city": "Neosho",
            "state": "MO",
            "postal_code": "648501810",
            "country_code": "US",
            "telephone_number": "417-212-0888",
            "fax_number": "417-312-2229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "432 W Fir Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Carthage",
            "state": "MO",
            "postal_code": "648363707",
            "country_code": "US",
            "telephone_number": "417-313-8536",
            "fax_number": "417-313-8537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TNMO HEALTHCARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TNMO HEALTHCARE, LLC",
        "enumeration_date": "2006-05-15",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "VP OF LICENSURE",
        "authorized_official_telephone_number": "704-662-1761"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MO",
            "license": "104-8HO",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609827468",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentiva",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.