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GENTIVA CERTIFIED HEALTHCARE CORP. NPI 1134158843


NPI Information

NPI: 1134158843
Provider Name: GENTIVA CERTIFIED HEALTHCARE CORP.

Doing Business As: KINDRED AT HOME

Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 01D0304167

Address:
1988 HIGHWAY 14 E
PRATTVILLE, AL
ZIP 36066
Phone: (334) 361-9806
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GENTIVA CERTIFIED HEALTHCARE CORP. is a home health in Prattville, AL. 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 1134158843. The provider is registered as an organization entity type.
The provider Is Doing Business As Kindred At Home.

The provider's business location address is:

1988 HIGHWAY 14 E
PRATTVILLE, AL
ZIP 36066-292
Phone: (334) 361-9806

The provider's authorized official is Janet Combs .
The authorized official title is Assistant Secretary and has the following contact phone number (913) 814-2013.

The CLIA number assigned to this NPI record is 01D0304167 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 8/31/2021.


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
107959OTHERG2
21020849OTHERG2
34546469OTHERG2
441146OTHERG2
5510-50592OTHERG2
63722OTHERG2
7115712OTHERG2
8510-07956OTHERG2
9113414024GOTHERG2
102352450OTHERG2
1134511OTHERG2
12017055OTHERG2
1351041146OTHERG2
146000048OTHERG2
15013100POTHERG2
16GEN7055AMEDICAIDALABAMA

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.