NPIMap

Organization Active NPI

Gentiva Health Services Ipa, Inc.

  • Case Management Agency
  • Tampa, FL
National Provider Identifier
1972643088
Registry record updated Nov 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
GENTIVA HEALTH SERVICES IPA, INC.
Practice address
7725 Woodland Center Blvd
Ste 150
Tampa, FL 33614
Phone
(813) 901-2108
Fax
(919) 792-6516
NPI assigned
Feb 7, 2007
Organization subpart
Yes
Parent organization
CARECENTRIX HOLDING, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 13, 2009

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

Authorized official

Name
Barbara A. Goding
Title
Director of Quality
Phone
(813) 901-2108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

7725 Woodland Center Blvd
Ste 150
Tampa, FL 33614

Mailing address

7725 Woodland Center Blvd
Ste 150
Tampa, FL 33614
Phone (813) 901-2108

National Provider Directory

National Provider Directory
Tax ID family
Gentiva Health Services Ipa Inc3 organizations share this tax ID, including this one
Part of
Gentiva Health Services Ipa Inc

Other organizations with this tax ID 2

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

Locations

7725 Woodland Center Blvd
Ste 150
Tampa, FL 33614
Phone (813) 901-2108

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258070400000",
    "number": "1972643088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7725 WOODLAND CENTER BLVD",
            "address_2": "STE 150",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33614",
            "telephone_number": "813-901-2108",
            "fax_number": "919-792-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7725 WOODLAND CENTER BLVD",
            "address_2": "STE 150",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33614",
            "telephone_number": "813-901-2108",
            "fax_number": "919-792-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTIVA HEALTH SERVICES IPA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARECENTRIX HOLDING, INC.",
        "enumeration_date": "2007-02-07",
        "last_updated": "2009-11-13",
        "status": "A",
        "authorized_official_last_name": "GODING",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR OF QUALITY",
        "authorized_official_telephone_number": "813-901-2108"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.