Gentiva Certified Healthcare Corp., NPI 1356370639
Home Health Agency in South Charleston, WV, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1356370639
NPI Entity Type Organization
Provider Name Gentiva Certified Healthcare Corp.
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 4825 Maccorkle Ave Sw Ste F, South Charleston, WV, US
Provider Mailing Address 6330 Sprint Pkwy Ste 300, Overland Park, KS, US, 662111157
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name John Nichols
Official Position AUTHORIZED SIGNATORY
Phone 304-346-9667

Primary Taxonomy

Taxonomy Code

251E00000X

Taxonomy Name Home Health Agency
Classification

Home Health

Group

Agencies

Description 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.

Other Organization Name

CenterWell Home Health
Doing Business As

Business Address

Gentiva Certified Healthcare Corp.
4825 Maccorkle Ave Sw Ste F

South Charleston, WV, US

Phone: 304-346-9667
Fax: 304-346-9717

Mailing Address

Gentiva Certified Healthcare Corp.
6330 Sprint Pkwy Ste 300
Overland Park, KS, US
ZIP 662111157

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
0003019448 WV-COMMERCIAL NUMBER 01
001741773 WV-COMMERCIAL NUMBER 01
013100P WV-COMMERCIAL NUMBER 01
0160941000 WV MEDICAID 05
5018000 WV MEDICAID 05
920155 WV-COMMERCIAL NUMBER 01
ANC015 WV-COMMERCIAL NUMBER 01
0005018000 WV MEDICAID 05
28689 WV-COMMERCIAL NUMBER 01
8413-90 WV-COMMERCIAL NUMBER 01
113414024-03 WV-COMMERCIAL NUMBER 01
2118364 WV-COMMERCIAL NUMBER 01
235397 WV-COMMERCIAL NUMBER 01
517048 WV-COMMERCIAL NUMBER 01
7723012 WV-COMMERCIAL NUMBER 01
600055 WV-COMMERCIAL NUMBER 01

Other Providers in WV, US

NPI Name Taxonomy Address

1255056628

Jennifer Knight

Individual

Home Health Registered Nurse

829 Fairmont Rd

Morgantown, WV

1154046514

MR. Wayne Matthew Bachelor

Individual

Peer Specialist

1057 6th Ave

Huntington, WV

1730804188

Melissa Jones

Individual

Community Health Worker

200 Association Dr Ste 130

Charleston, WV

1114642568

Gideon Mossor

Individual

Community Health Worker

200 Association Dr Ste 130

Charleston, WV

1982329330

Tanisha Wilson

Individual

Community Health Worker

200 Association Dr Ste 130

Charleston, WV

1164147500

Deloris Ann Hopkins

Individual

Home Health Aide

42 Parrish Ln

Ashford, WV

1255056693

Elizabeth Neal

Individual

Homemaker

1614 S Kanawha St

Beckley, WV

1629793054

Luke Petrice

Individual

Case Manager/Care Coordinator

710 Maple St

Elkins, WV

1588389910

Joshua Riley

Individual

Community Health Worker

200 Association Dr Ste 130

Charleston, WV

1992420319

Karie Morrison

Individual

Personal Care Attendant

10 6th Ave W

Huntington, WV

1275258691

Katelyn Lucas

Individual

Personal Care Attendant

712 Mercer St Ste D

Princeton, WV

1558086975

Jenna Taylor

Individual

Personal Care Attendant

10 6th Ave W

Huntington, WV

1740905165

Tisean Jayree Walker

Individual

Personal Care Attendant

1650 Glenway Ln

Huntington, WV

1922723345

Montana Wallace

Individual

Personal Care Attendant

10 6th Ave W

Huntington, WV

1033834452

Natasha Sharon Sexton

Individual

Personal Care Attendant

400 Bluefield St Lot 16

Wayne, WV

1770208191

Katheryn Joyce Bailey

Individual

Personal Care Attendant

1236 Madison Ave

Huntington, WV

1518682939

Alexis Perry

Individual

Personal Care Attendant

712 Mercer St Ste D

Princeton, WV

1174248587

Stevie Dawn Cline

Individual

Personal Care Attendant

695 Mountaineer Hwy

Mullens, WV

1003531419

Britney Brogan

Individual

School Registered Nurse

267 Midway Rd

Alum Creek, WV

1689399099

Mary Mccullough

Individual

Personal Care Attendant

1599 2nd Ave

Charleston, WV

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