NPIMap

Organization Active NPI

Wiregrass Hospice, LLC

Doing business as Gentiva

  • Community Based Hospice Care Agency
  • Dothan, AL
National Provider Identifier
1770519324
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
WIREGRASS HOSPICE, LLC
Doing business as
Gentiva
Practice address
2431 W Main St Ste 1102
Dothan, AL 36301-1250
Phone
(334) 792-1100
Fax
(334) 671-4168
NPI assigned
Jun 24, 2006
Last updated
Aug 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Jennifer Tyler
Title
VP of Regulatory Counsel
Phone
(704) 664-2876

Specialties & licenses 1

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

Addresses

Primary practice location

2431 W Main St Ste 1102
Dothan, AL 36301-1250

Mailing address

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

Other practice location 1

1208 Rucker Blvd Ste A
Enterprise, AL 36330-3649
Phone (334) 347-3353

Other identifiers 1

IdentifierTypeStateIssuer
PIC 1522EMedicaidAL

Other names 1

  • Gentiva Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060123000011 AL Part A Provider - Hospice 9931019577 Practice locations: Dothan, AL; Enterprise, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770519324. Details of each certification follow.

Hospice certification: CCN 011522

Legal name
WIREGRASS HOSPICE, LLC
Doing business as
GENTIVA
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 3, 1989
Last certification
Mar 18, 2016
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
2431 W Main St
Ste 1102
Dothan, AL 36301-1250

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Hospice

Medicare Care Compare
Listed as
GentivaCCN 011522 · All quality measures
Ownership
For-Profit
Certified
Nov 3, 1989
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
01D1049391Wiregrass Hospice LLC2431 W Main Street, Suite 1102, Dothan, AL 36301Certificate of waiverJan 3, 2028

National Provider Directory

National Provider Directory
Tax ID family
Wiregrass Hospice LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

801 Noble St
Ste 924
Anniston, AL 36201
Phone (256) 831-2964

1032 Boll Weevil Cir
Ste D
Enterprise, AL 36330
Phone (334) 347-3353

1208 Rucker Blvd
Ste A
Enterprise, AL 36330
Phone (334) 393-9810

5000 Bradford Dr NW
Ste 3A
Huntsville, AL 35805
Phone (256) 837-1290

200 Interstate Park Dr
Ste 220
Montgomery, AL 36109
Phone (334) 260-0015

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Melinda Swain Individual W-2 Managing EmployeeAdministator Jul 31, 2022
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 OfficerSecretary & General Counsel Apr 27, 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
W-2 Managing EmployeeHome Office Administrator Dec 31, 2021
Wiregrass Hospice Care LLC Organization, Louisville, KY Holding company 5% Or Greater Indirect Ownership Interest Jun 2, 2004 100%
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 and Preside Apr 27, 2021
Charlotte Buyer, Inc. Organization, Mooresville, NC Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Curo Health Services LLC Organization, Mooresville, NC LLC, For-profit Operational/Managerial Control Jul 11, 2018
Janet L Combs Individual Corporate OfficerVP, 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, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Kah Hospice Company, Inc Organization, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Horizon Health Network, LLC Organization, Louisville, KY Holding company 5% Or Greater Direct Ownership Interest Aug 12, 2002 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.

View all 18

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Emerald Coast HospicePanama City, FL, CCN 101537 Hospice Operational/Managerial Control (100%) Mar 15, 2000

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 196

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

View all 196

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 17

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

View all 17

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": "1787702400000",
    "number": "1770519324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4060",
            "address_2": "ATTN: REGULATORY",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281174060",
            "telephone_number": "704-664-2876",
            "fax_number": "704-230-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 W MAIN ST STE 1102",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011250",
            "telephone_number": "334-792-1100",
            "fax_number": "334-671-4168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1208 Rucker Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Enterprise",
            "state": "AL",
            "postal_code": "363303649",
            "country_code": "US",
            "telephone_number": "334-347-3353",
            "fax_number": "334-308-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WIREGRASS HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "VP OF REGULATORY COUNSEL",
        "authorized_official_telephone_number": "704-664-2876"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PIC 1522E",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentiva",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.