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GENTIVA CERTIFIED HEALTHCARE CORP. NPI 1437185139


NPI Information

NPI: 1437185139
Provider Name: GENTIVA CERTIFIED HEALTHCARE CORP.

Doing Business As: KINDRED AT HOME

Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 03D0932028

Address:
16620 N 40TH ST
SUITE D4
PHOENIX, AZ
ZIP 85032
Phone: (602) 992-0709
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GENTIVA CERTIFIED HEALTHCARE CORP. is a home health in Phoenix, AZ. 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 1437185139. 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:

16620 N 40TH ST
SUITE D4
PHOENIX, AZ
ZIP 85032-350
Phone: (602) 992-0709

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 03D0932028 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/24/2006 and was last updated on 8/27/2021.


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
17280276OTHERAZ-COMMERCIAL NUMBER
23014811OTHERAZ-COMMERCIAL NUMBER
3333724MEDICAIDARIZONA
4ANC015OTHERAZ-COMMERCIAL NUMBER
5106825010OTHERAZ-COMMERCIAL NUMBER
6AZ0701490OTHERAZ-COMMERCIAL NUMBER
7235392OTHERAZ-COMMERCIAL NUMBER
8564395OTHERAZ-COMMERCIAL NUMBER
91015374OTHERAZ-COMMERCIAL NUMBER
10GA0005OTHERAZ-COMMERCIAL NUMBER
11013100POTHERAZ-COMMERCIAL NUMBER
1211-3414024OTHERAZ-COMMERCIAL NUMBER
130003302145OTHERAZ-COMMERCIAL NUMBER
14037037OTHERAZ-COMMERCIAL NUMBER
15333724-23MEDICAIDARIZONA
16321563003OTHERAZ-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.