The American Heartland Hospice Corp.
Organization Active NPI Community Based Hospice Care Agency · Saint Louis, MO
NPI 1649265166 · NPPES record last updated May 7, 2026
Key facts
- NPI
- 1649265166
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 189-HO (MO)
- Legal business name
- THE AMERICAN HEARTLAND HOSPICE CORP.
- Practice address
- 12125 Woodcrest Executive Dr Ste 300
Saint Louis, MO 63141-5011 - Phone
- (314) 275-6100
- Fax
- (314) 275-6101
- NPI assigned
- Sep 12, 2005
- Organization subpart
- No
Authorized official
- Name
- Janet Combs
- Title
- VP of Licensure
- Phone
- (704) 662-1761
Owners & managing parties with NPI records 19
-
Paul Aaron Metcalf, D.O.
Member of 1
Facilities with the same owner 195
Affiliated clinicians 12
-
Roland Akinyede, M.D.
-
Iqbal Amin, M.D.
-
Chisom Eze, MD
-
Paul Aaron Metcalf, D.O.
-
David Joel Pernikoff, M.D.
-
Guy D Roberts, D.O.
-
Manuel Le-Yeng San, D.O.
-
Shaukat A Thanawalla, M.D.
-
Chantri Trinh, MD
-
Julie Kay Wittenauer, M.D.
Medicare Care Compare: Hospice
- Listed as
- Gentiva
- Ownership
- For-Profit
- Certified
- Aug 31, 1994
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2139456 | American Heartland Hospice Corp, the | Certificate of waiver | Nov 2, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Hospice certification: CCN 261550
- Legal name
- THE AMERICAN HEARTLAND HOSPICE CORP.
- Doing business as
- GENTIVA
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Aug 31, 1994
- Last certification
- Feb 4, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation · Proprietary
- Incorporated
- Oct 28, 1994 in MO
- Enrollment address
- 12125 Woodcrest Executive Dr
Ste 220
Saint Louis, MO 63141-5010
All disclosed owners & managing parties 21
| Name | Role | Since | Share |
|---|---|---|---|
| CH Services Midco Holdings Inc |
5% Or Greater Indirect Ownership Interest | Feb 5, 2015 | 100% |
| Kentucky Homecare Parent Inc. |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 40% |
| Ronald C Lazas |
Corporate Officer |
Apr 27, 2021 | |
| Corporate Director |
Apr 27, 2021 | ||
| Curo Health Services Holdings, Inc |
5% Or Greater Indirect Ownership Interest | Jun 6, 2014 | 100% |
| David Robinson Arnold |
Corporate Officer |
Dec 31, 2021 | |
| Operational/Managerial Control |
Dec 31, 2021 | ||
| Paul a Metcalf |
Contracted Managing Employee |
Jan 5, 2015 | |
| Michelle Maloney |
W-2 Managing Employee |
Jul 10, 2023 | |
| Thomas Joseph Dolan |
Corporate Officer |
Nov 30, 2021 | |
| Charlotte Midco, LLC |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 100% |
| Kentucky Homecare Holdings, Inc. |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 40% |
| Humana Inc |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 40% |
| Falcon Hospice, LP |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 100% |
| David Allen Causby |
Corporate Officer |
Apr 27, 2021 | |
| Corporate Director |
Apr 27, 2021 | ||
| Charlotte Buyer, Inc. |
5% Or Greater Indirect Ownership Interest | Jul 11, 2018 | 100% |
| Curo Health Services LLC |
5% Or Greater Direct Ownership Interest | Mar 1, 2022 | 100% |
| Operational/Managerial Control | Jul 11, 2018 | 100% | |
| Janet L Combs |
Corporate Officer |
Nov 1, 2021 | |
| CD&R Falcon Holdings, LP |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 60% |
| Centerwell Health Services Inc |
5% Or Greater Indirect Ownership Interest | Dec 22, 2022 | 40% |
| Kah Hospice Company, Inc |
5% Or Greater Indirect Ownership Interest | Mar 1, 2022 | 100% |
| CH Services Group Holdings Inc |
5% Or Greater Indirect Ownership Interest | Feb 5, 2015 | 100% |
| CH Services Holdings Inc |
5% Or Greater Indirect Ownership Interest | Jun 6, 2014 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20021212000001 | MO | Part a Provider - Hospice | 1153239371 | Practice locations: Lake St Louis, MO; Farmington, MO; Saint Louis, MO |
National Provider Directory
Locations
507 Potosi St
Farmington, MO 63640
Phone (877) 756-0554
4783 Flat River Rd
Ste 1008
Farmington, MO 63640
Phone (573) 705-3475
21 Hawk Ridge Cir
Ste 21
Lake St Louis, MO 63367
Phone (636) 528-2816
12125 Woodcrest Executive Dr
Ste 300
Saint Louis, MO 63141
Phone (314) 275-6100
4372 Casa Brazilia Dr
Ste 203
Saint Louis, MO 63129
Phone (314) 894-8189
1125 E Cherry St
Troy, MO 63379
Phone (636) 224-1500
16 The Plaza
Troy, MO 63379
Phone (636) 528-2816
451 S Main St
Troy, MO 63379
Phone (800) 950-4844
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 189-HO | MO | Yes |
Addresses
Primary practice location
12125 Woodcrest Executive Dr Ste 300
Saint Louis, MO 63141-5011
Mailing address
PO Box 4060
Mooresville, NC 28117-4060
Phone (704) 664-2876
Other practice location 1
4783 Flat River Rd Ste 100B
Farmington, MO 63640-7401
Phone (573) 705-3475
Other practice location 2
16 The Plz
Troy, MO 63379-1365
Phone (636) 528-2816
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 827763301 | Medicaid | MO |
Other names
- Gentiva
- Kindred Hospice
Other providers in Saint Louis, MO
- Andrea Thavorides
- Amy L Thayer
- Elaine Thayer Sr.
- Lauren N Thayer
- Sydney Marie Thayer
- The Amtag Group LLC
- The Arch Community School
- The Biome
- The Biome
- The Boyhood Initiative of Missouri
All providers in Saint Louis, MO · Community Based Hospice Care Agency in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.