Gentiva Certified Healthcare Corp., NPI 1790718427
Home Health Agency in Pittsfield, MA, 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 1790718427
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 279 Dalton Ave Ste B, Pittsfield, MA, 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 413-443-3525

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.
279 Dalton Ave Ste B

Pittsfield, MA, US

Phone: 413-443-3525

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
801438 G2 01
0003032740 G2 01
020100 G2 01
235397 G2 01
565800 G2 01
63102610611H G2 01
702022 G2 01
0008212 G2 01
013100P G2 01
113414024H G2 01
60-00179 G2 01
1020033 G2 01
15047 G2 01
227219 G2 01
000000021018 G2 01
0606006 MA MEDICAID 05
3267811 G2 01

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NPI Name Taxonomy Address

1528553229

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1891416186

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PA-C James Whitney Diamantopoulos

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DR. D.M.D Sarah Bohyun Lee

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LICSW Jeff H Butts

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Specialist

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1205551678

Gabriella Guillette

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Social Worker

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1689399057

Kristen Fleck

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675 County St

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Yang Li

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Monique Barrett

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Ellen Beth Wittlin

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1366167728

MISS WHNP Megan Eileen Fickes

Individual

Psychiatric/Mental Health Registered Nurse

10 Carematrix Dr

Dedham, MA

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