CCN: 361635 NPI: 1922238203 Organization

Gentiva

112 HARCOURT RD STE 3
MOUNT VERNON, OH 430503944

Contact Information

Phone 7402632248
Fax 7403929366
Enumeration Date 2009-07-21
Last Updated 2024-07-03

Taxonomies

Code: 251G00000X (Primary) License State: OH License: 0162HSP

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

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censusDivision 4

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censusDivision 4

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censusDivision 4

cbsaActualGeographicLocation 18140

providerType 35

censusDivision 4

cbsaActualGeographicLocation 18140

providerType 35

censusDivision 4

cbsaActualGeographicLocation 18140

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 18140

providerType 35

specialPaymentIndicator

carrierCode 15202

localityCode 00