Active NPI
Gentiva Certified Healthcare Corp.
- Home Health Agency
- Irvine, CA
National Provider Identifier
1689600389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GENTIVA CERTIFIED HEALTHCARE CORP.
- Practice address
- 3240 El Camino Real
Suite 190
Irvine, CA 92602-1383 - Phone
- (714) 505-3087
- NPI assigned
- Jun 24, 2006
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
3240 El Camino Real
Suite 190
Irvine, CA 92602-1383
Mailing address
12900 Foster St Ste 400
Overland Park, KS 66213-2696
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11-3414024 | Other | CA-COMMERCIAL NUMBER | |
| 060000282 | Other | CA-COMMERCIAL NUMBER | |
| 48-0938087 | Other | CA-COMMERCIAL NUMBER | |
| HHA07896G | Medicaid | CA | |
| 106825025 | Other | CA-COMMERCIAL NUMBER | |
| 2118952 | Other | CA-COMMERCIAL NUMBER | |
| 013100P | Other | CA-COMMERCIAL NUMBER | |
| 113414024 | Other | CA-COMMERCIAL NUMBER | |
| 55-7104 | Other | CA-COMMERCIAL NUMBER | |
| 55-7104 | Medicaid | CA | |
| 557104 | Other | CA-COMMERCIAL NUMBER | |
| 113414024F | Other | CA-COMMERCIAL NUMBER | |
| 114543 | Other | CA-COMMERCIAL NUMBER | |
| 120243 | Other | CA-COMMERCIAL NUMBER | |
| 1500992 | Other | CA-COMMERCIAL NUMBER |
Other names 1
- Kindred at Home
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701216000000",
"number": "1689600389",
"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": "3240 EL CAMINO REAL",
"address_2": "SUITE 190",
"city": "IRVINE",
"state": "CA",
"postal_code": "926021383",
"telephone_number": "714-505-3087"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENTIVA CERTIFIED HEALTHCARE CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-24",
"last_updated": "2023-11-29",
"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": "CA-COMMERCIAL NUMBER",
"identifier": "11-3414024",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA-COMMERCIAL NUMBER",
"identifier": "060000282",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA-COMMERCIAL NUMBER",
"identifier": "48-0938087",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HHA07896G",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA-COMMERCIAL NUMBER",
"identifier": "106825025",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA-COMMERCIAL NUMBER",
"identifier": "2118952",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA-COMMERCIAL NUMBER",
"identifier": "013100P",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA-COMMERCIAL NUMBER",
"identifier": "113414024",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA-COMMERCIAL NUMBER",
"identifier": "55-7104",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "55-7104",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA-COMMERCIAL NUMBER",
"identifier": "557104",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA-COMMERCIAL NUMBER",
"identifier": "113414024F",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA-COMMERCIAL NUMBER",
"identifier": "114543",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA-COMMERCIAL NUMBER",
"identifier": "120243",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA-COMMERCIAL NUMBER",
"identifier": "1500992",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kindred at Home",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.