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GENTIVA CERTIFIED HEALTHCARE CORP. NPI 1093747347


NPI Information

NPI: 1093747347
Provider Name: GENTIVA CERTIFIED HEALTHCARE CORP.

Doing Business As: KINDRED AT HOME I

Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 04D0711335

Address:
10825 FINANCIAL CENTRE PKWY STE 210
LITTLE ROCK, AR
ZIP 72211
Phone: (501) 223-8310
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GENTIVA CERTIFIED HEALTHCARE CORP. is a home health in Little Rock, AR. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. GENTIVA CERTIFIED HEALTHCARE CORP. NPI is 1093747347. The provider is registered as an organization entity type.
The provider Is Doing Business As Kindred At Home I.

The provider's business location address is:

10825 FINANCIAL CENTRE PKWY STE 210
LITTLE ROCK, AR
ZIP 72211-545
Phone: (501) 223-8310

The provider's authorized official is Linda Skaggs .
The authorized official title is Authorized Official and has the following contact phone number (913) 814-2716.

The CLIA number assigned to this NPI record is 04D0711335 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 9/17/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1013100POTHERAR-COMMERCIAL NUMBER
2115712OTHERAR-COMMERCIAL NUMBER
3122835716MEDICAIDARKANSAS
4145488738MEDICAIDARKANSAS
5145687732MEDICAIDARKANSAS
6131156742MEDICAIDARKANSAS
7129058732MEDICAIDARKANSAS
80564382OTHERAR-COMMERCIAL NUMBER
911341402450OTHERAR-COMMERCIAL NUMBER
10112135OTHERAR-COMMERCIAL NUMBER
11121950742MEDICAIDARKANSAS
1217029OTHERAR-COMMERCIAL NUMBER
1317900OTHERAR-COMMERCIAL NUMBER
14047029OTHERAR-COMMERCIAL NUMBER
15129059514MEDICAIDARKANSAS
161500992OTHERAR-COMMERCIAL NUMBER
17235397OTHERAR-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.