Organization Active NPI

Gentiva Certified Healthcare Corp.

  • Home Health Agency
  • Oklahoma City, OK
National Provider Identifier
1689600397
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GENTIVA CERTIFIED HEALTHCARE CORP.
Practice address
4045 NW 64TH St Ste 420
Oklahoma City, OK 73116-2617
Phone
(405) 843-0465
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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

4045 NW 64TH St Ste 420
Oklahoma City, OK 73116-2617

Mailing address

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

Other identifiers 17

IdentifierTypeStateIssuer
113414024DOtherOK-COMMERCIAL NUMBER
013100POtherOK-COMMERCIAL NUMBER
047038OtherOK-COMMERCIAL NUMBER
7559146OtherOK-COMMERCIAL NUMBER
000377170002OtherOK-COMMERCIAL NUMBER
300066113OtherOK-COMMERCIAL NUMBER
1020619OtherOK-COMMERCIAL NUMBER
100260400BOtherOK-COMMERCIAL NUMBER
100260400UMedicaidOK
100260400AMedicaidOK
100260400COtherOK-COMMERCIAL NUMBER
100260400KMedicaidOK
100260400LMedicaidOK
377170OtherOK-COMMERCIAL NUMBER
100260400DMedicaidOK
564395OtherOK-COMMERCIAL NUMBER
2366169OtherOK-COMMERCIAL NUMBER

Other names 1

  • Kindred at Home Doing business as

National Provider Directory

National Provider Directory

Locations

4045 NW 64th St
Ste 420
Oklahoma City, OK 73116
Phone (405) 843-0465

NPI 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": "1455148800000",
    "number": "1689600397",
    "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": "4045 NW 64TH ST STE 420",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731162617",
            "telephone_number": "405-843-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTIVA CERTIFIED HEALTHCARE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2016-02-11",
        "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": "OK-COMMERCIAL NUMBER",
            "identifier": "113414024D",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK-COMMERCIAL NUMBER",
            "identifier": "013100P",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK-COMMERCIAL NUMBER",
            "identifier": "047038",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK-COMMERCIAL NUMBER",
            "identifier": "7559146",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK-COMMERCIAL NUMBER",
            "identifier": "000377170002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK-COMMERCIAL NUMBER",
            "identifier": "300066113",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK-COMMERCIAL NUMBER",
            "identifier": "1020619",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK-COMMERCIAL NUMBER",
            "identifier": "100260400B",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100260400U",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100260400A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK-COMMERCIAL NUMBER",
            "identifier": "100260400C",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100260400K",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100260400L",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK-COMMERCIAL NUMBER",
            "identifier": "377170",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100260400D",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK-COMMERCIAL NUMBER",
            "identifier": "564395",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK-COMMERCIAL NUMBER",
            "identifier": "2366169",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.