NPIMap

Organization Active NPI

Gentiva Health Services (USA), LLC

Doing business as Kindred at Home V

  • Home Health Agency
  • Hugo, OK
National Provider Identifier
1902833825
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GENTIVA HEALTH SERVICES (USA), LLC
Doing business as
Kindred at Home V
Practice address
804 E Jackson St
Hugo, OK 74743-4222
Phone
(580) 326-8376
NPI assigned
Jun 27, 2006
Last updated
Apr 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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 NU Primary

Addresses

Primary practice location

804 E Jackson St
Hugo, OK 74743-4222

Mailing address

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

Other identifiers 19

IdentifierTypeStateIssuer
17029OtherOK-COMMERCIAL NUMBER
B45126453331OtherOK-COMMERCIAL NUMBER
100260400AMedicaidOK
100260400LMedicaidOK
000377146002OtherOK-COMMERCIAL NUMBER
013100POtherOK-COMMERCIAL NUMBER
100260400BOtherOK-COMMERCIAL NUMBER
100260400COtherOK-COMMERCIAL NUMBER
100260400EMedicaidOK
112645333OtherOK-COMMERCIAL NUMBER
377146OtherOK-COMMERCIAL NUMBER
ANC015OtherOK-COMMERCIAL NUMBER
1020616OtherOK-COMMERCIAL NUMBER
2366169OtherOK-COMMERCIAL NUMBER
112645333186OtherOK-CHAMPUS
GA0177OtherOK-COMMERCIAL NUMBER
100260400MMedicaidOK
100260400UMedicaidOK
7559146OtherOK-COMMERCIAL NUMBER

Other names 1

  • Kindred at Home V Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gentiva Health Services USA Inc18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

804 E Jackson St
Hugo, OK 74743
Phone (580) 239-1800

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1902833825",
    "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": "804 E JACKSON ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747434222",
            "telephone_number": "580-326-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTIVA HEALTH SERVICES (USA), LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2019-04-01",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK-COMMERCIAL NUMBER",
            "identifier": "17029",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK-COMMERCIAL NUMBER",
            "identifier": "B45126453331",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100260400A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100260400L",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK-COMMERCIAL NUMBER",
            "identifier": "000377146002",
            "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": "100260400B",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK-COMMERCIAL NUMBER",
            "identifier": "100260400C",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100260400E",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK-COMMERCIAL NUMBER",
            "identifier": "112645333",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK-COMMERCIAL NUMBER",
            "identifier": "377146",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK-COMMERCIAL NUMBER",
            "identifier": "ANC015",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK-COMMERCIAL NUMBER",
            "identifier": "1020616",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK-COMMERCIAL NUMBER",
            "identifier": "2366169",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK-CHAMPUS",
            "identifier": "112645333186",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK-COMMERCIAL NUMBER",
            "identifier": "GA0177",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100260400M",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100260400U",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK-COMMERCIAL NUMBER",
            "identifier": "7559146",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred at Home V",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred at Home V",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hugo, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.