Provider Demographics
NPI:1225069834
Name:GENTIVA HEALTH SERVICES (USA), INC.
Entity Type:Organization
Organization Name:GENTIVA HEALTH SERVICES (USA), INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR LICENSURE
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-814-2288
Mailing Address - Street 1:12900 FOSTER ST STE 400ATTENTI
Mailing Address - Street 2:ATTENTION: RUTH SCHWARTZ
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66213-2649
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6912 220TH ST SW
Practice Address - Street 2:SUITE 301
Practice Address - City:MOUNTLAKE TERRACE
Practice Address - State:WA
Practice Address - Zip Code:98043-2169
Practice Address - Country:US
Practice Address - Phone:913-814-2800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled Services
Not Answered251E00000XAgenciesHome Health
Not Answered261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation