Organization Name: | GENTIVA HEALTH SERVICES |
NPI Number: | 1467721001 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAM STANFORD (PCM MANAGER) |
Mailing Address: | 23 Westover Drive Nw Adairsville |
State: | GA US |
Postal Code: | 30103 |
Phone Number: | 7703833565 |
Fax Number: | 7703833566 |
NPI Enumeration Date: | 12/28/2011 |
NPI Last Update Date: | 12/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | RN172144 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |