Healthcare Provider Details

I. General information

NPI: 1053354423
Provider Name (Legal Business Name): GENTIVA HEALTH SERVICES (USA), INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6912 220TH ST SW SUITE 301
MOUNTLAKE TERRACE WA
98043-2169
US

IV. Provider business mailing address

12900 FOSTER ST SUITE 400 ATTENTION: RUTH SCHWARTZ
OVERLAND PARK KS
66213
US

V. Phone/Fax

Practice location:
  • Phone: 913-814-2800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RUTH SCHWARTZ
Title or Position: DIRECTOR LICENSURE
Credential:
Phone: 913-814-2288