GENTIVA
NPI 1851330641
Hospice Care, Community Based in Brookhaven, MS
NPI Status: Active since June 06, 2006
Contact Information
706 HIGHWAY 51 N
BROOKHAVEN, MS
ZIP 39601
Phone: (601) 990-2315
Fax: (601) 579-9495
- Organization
- Hospice Care, Community Based
- Accepts Insurance
- CLIA Number: 25D2050524
- CLIA Cert. Type: Hospice
- CLIA Exp. Date: 11-29-2026
About GENTIVA
This page provides the complete NPI Profile along with additional information for Gentiva, a provider established in Brookhaven, Mississippi operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1851330641 assigned on June 2006. The practitioner's primary taxonomy code is 251G00000X with license number 062 (MS). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Gentiva. The authorized official of this NPI record is Ms. Janet Combs (Vp Of Licensure)
- NPI
- 1851330641
- Provider Legal Name
- SOUTHERNCARE, INC.
- Other Organization Name
- GENTIVA
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 706 HIGHWAY 51 N BROOKHAVEN, MS 39601
- Location Phone
- (601) 990-2315
- Location Fax
- (601) 579-9495
- Mailing Address
- PO BOX 4060 MOORESVILLE, NC 28117
- Mailing Phone
- (704) 664-2878
- Mailing Fax
- (601) 579-9495
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-06-2006
- Last Update Date
- 04-21-2023
- Code Navigator
According to the Hospice Quality Reporting Program (HQRP) data this facility is for-profit and was certified on 04-28-2000 This facility was recently evaluated on the following quality measures: average daily census, hospice served at least 1 patient with both medicare and medicaid coverage during one year, hospice served at least 1 patient enrolled in medicare advantage during one year, care provided in assisted living facility and care provided in home, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Hospice Care, Community Based
- Taxonomy Code
- 251G00000X
- Type
- Agencies
- License No.
- 062
- License State
- MS
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + CVS Health Virtual Primary Care - EPO
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - EPO
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
- Bronze S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold (QualChoice) - POS
- Elite Gold (QualChoiceLife) - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Everyday Silver (QualChoiceLife) - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Standard Expanded Bronze - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- HSA Eligible Bronze 6000 - HMO
- Low Premium Bronze 9200 $25 Generic Drugs - HMO
- Low Premium Bronze 9200 $25 Generic Drugs Adult Vision & Fitness - HMO
- Low Premium Silver 6000 $3 Generic Drugs - HMO
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
- Connect Bronze 3800 Indiv Med Deductible - EPO
- Connect Bronze 5500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze 6500 Indiv Med Deductible - EPO
- Connect Bronze 7000 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze 8500 Indiv Med Deductible - EPO
- Connect Bronze 8550 Indiv Med Deductible - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold 2000 Indiv Med Deductible - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 3000 Indiv Med Deductible - EPO
- Connect Silver 3800 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Silver 4000 Indiv Med Deductible - EPO
- Connect Silver 6500 Indiv Med Deductible - EPO
- Connect Silver 7000 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00770378 | MEDICAID (05) | MS |
Hospice Care Information
The Centers for Medicare and Medicaid Services Hospice Quality Reporting Program (HQRP) data provides information on the quality of care that hospice facilities are providing to their patients. The quality reporting data gives families and patients the information they need to decide which hospice is right for them.
| CMS Certification Number (CCN) | 251561 |
| Ownership Type | For-Profit |
| Medicare Certification Date | 04-28-2000 |
| Quality Measure | Measure Score |
|---|---|
| Average Daily Census Number of patients cared for by a hospice on average each day | 82.0 |
| Hospice served at least 1 patient with both Medicare and Medicaid coverage during one year 1= Hospice served at least 1 patient with both Medicaid and Medicare coverage OR 0 = Hospice did not serve any patients with both Medicaid and Medicare coverage | Yes |
| Hospice served at least 1 patient enrolled in Medicare Advantage during one year 1 = Hospice served at least one patient enrolled in Medicare Advantage OR 0 = Hospice did not serve any patients enrolled in Medicare Advantage | Yes |
| Care Provided in Assisted Living Facility Percentage of days patients received care in an assisted living facility | 42 |
| Care Provided in Home Percentage of days patients received care in home | 46 |
| Care Provided in Inpatient Hospice Facility Percentage of days patients received care in an inpatient hospice | 0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years. |
| Care Provided in Inpatient Hospital Facility Percentage of days patients received care in an inpatient hospital | 0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years. |
| Care Provided in Nursing Facility Percentage of days patients received care in a nursing facility | 8 |
| Care Provided in All other locations Percentage of days patients received care in other locations | 2 |
| Care Provided in Skilled Nursing Facility Percentage of days patients received care in a skilled nursing facility | 2 |
| Hospice and Palliative Care Treatment Preferences Facility observed rate | 100.0 |
| Beliefs & Values Addressed (if desired by the patient) Facility observed rate | 100.0 |
| Hospice and Palliative Care Pain Screening Facility observed rate | 100.0 |
| Hospice and Palliative Care Pain Assessment Facility observed rate | 100.0 |
| Hospice and Palliative Care Dyspnea Screening Facility observed rate | 100.0 |
| Hospice and Palliative Care Dyspnea Treatment Facility observed rate | 100.0 |
| Patient Treated with an Opioid Who Are Given a Bowel Regimen Facility observed rate | Not Available - The number of patient stays is too small to report (less than 20 patient stays). |
| Hospice and Palliative Care Composite Process Measure Facility observed rate | 100.0 |
| Hospice Visits in the Last Days of Life | 161 |
| Hospice Visits in the Last Days of Life Facility observed rate | 80.7 |
| Hospice Care Index Overall Score Facility observed rate | 9.0 |
| CHC/GIP provided (% days) | 28,622 |
| CHC/GIP provided (% days) Facility observed rate | 0.1 |
| CHC/GIP provided (% days) | 65 |
| Gaps in nursing visits (% elections) | 187 |
| Gaps in nursing visits (% elections) Facility observed rate | 26.2 |
| Gaps in nursing visits (% elections) | 15 |
| Early live discharges (% live discharges) | 69 |
| Early live discharges (% live discharges) Facility observed rate | 0.0 |
| Early live discharges (% live discharges) | 19 |
| Late live discharges (% live discharges) | 69 |
| Late live discharges (% live discharges) Facility observed rate | 52.2 |
| Late live discharges (% live discharges) | 81 |
| Burdensome transitions, Type 1(% live discharges) | 69 |
| Burdensome transitions, Type 1 (% live discharges) Facility observed rate | 21.7 |
| Burdensome transitions, Type 1 (% live discharges) | 96 |
| Burdensome transitions, Type 2(% live discharges) | 69 |
| Burdensome transitions, Type 2 (% live discharges) Facility observed rate | 0.0 |
| Burdensome transitions, Type 2 (% live discharges) | 43 |
| Per-beneficiary spending (U.S. dollars $) | 300 |
| Per-beneficiary spending (U.S. dollars $) Facility observed rate | 14,544 |
| Per-beneficiary spending (U.S. dollars $) | 37 |
| Nurse care minutes per routine home care days (minutes) | 28,455 |
| Nurse care minutes per routine home care days (minutes) Facility observed rate | 13.2 |
| Nurse care minutes per routine home care days (minutes) | 61 |
| Skilled nursing minutes on weekends (% minutes) | 376,020 |
| Skilled nursing minutes on weekends (% minutes) Facility observed rate | 5.4 |
| Skilled nursing minutes on weekends (% minutes) | 19 |
| Visits near death (% decedents) | 194 |
| Visits near death (% decedents) Facility observed rate | 95.4 |
| Visits near death (% decedents) | 67 |
| Percent of Patients with Cancer Percentage of patients at hospice who had Cancer as their primary diagnosis | 11 |
| Percent of Patients with Circulatory/heart disease Percentage of patients at hospice who had Circulatory Heart Disease as their primary diagnosis | 21 |
| Percent of Patients with Dementia Percentage of patients at hospice who had Dementia as their primary diagnosis | 37 |
| Percent of Patients with Other Conditions Percentage of patients at hospice who had some other conditions as their primary diagnosis | 7 |
| Percent of Patients with Respiratory disease Percentage of patients at hospice who had Respiratory Disease as their primary diagnosis | 10 |
| Percent of Patients with Stroke Percentage of patients at hospice who had Stroke as their primary diagnosis | 6 |
| Provided Routine Home Care and other levels of care Th hospice had at least one incidence of routine home care and at least one more incidence of care at another level. Blank: hospice only provided care at routine home care level | Yes |
| Provided Routine Home Care only The hospice had at least one incidence of RHC over the 3 years, and no incidences of care at any other level. Blank: the hospice had at least one incidence of care at another level | No |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D2050524
- Facility Type
- Hospice
- Certificate Effective Date
- November 30, 2024
- Certificate Expiration Date
- November 29, 2026
- Laboratory Director
- SELECE BEASLEY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Gentiva to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 5 | 1 | 3 | 3 | 0 | 6 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 10 | 1 | 6 | 3 | 0 | 6 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 0 + 1 + 6 + 3 + 0 + 6 + 8 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1851330641 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
KERSTEN VANEM MS PMHT
Counselor
(Mental Health)
706 HIGHWAY 51 N
BROOKHAVEN, MS
ZIP 39601
KRISTI D. WEBBER
Counselor
(Mental Health)
706 HIGHWAY 51 N
BROOKHAVEN, MS
ZIP 39601
VALENCIA BINGHAM
Counselor
(Mental Health)
706 HIGHWAY 51 N
BROOKHAVEN, MS
ZIP 39601
REJOHNA BLEDSOE
Counselor
(Mental Health)
706 HIGHWAY 51 N
BROOKHAVEN, MS
ZIP 39601
PORCIA COMBS
Counselor
(Mental Health)
706 HIGHWAY 51 N
BROOKHAVEN, MS
ZIP 39601
COURTNEY FLEMING
Counselor
(Mental Health)
706 HIGHWAY 51 N
BROOKHAVEN, MS
ZIP 39601
TANGELA S. WATSON
Case Manager/Care Coordinator
706 HIGHWAY 51 N
BROOKHAVEN, MS
ZIP 39601
MRS. ALLISA ALEXANDER
Counselor
(Mental Health)
706 HIGHWAY 51 N
BROOKHAVEN, MS
ZIP 39601
SARAH HUX
Contractor
706 HIGHWAY 51 N
BROOKHAVEN, MS
ZIP 39601
MR. RANDALL K JONES
Counselor
(Mental Health)
706 HIGHWAY 51 N
BROOKHAVEN, MS
ZIP 39601
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851330641, enumerated as an "organization" on June 06, 2006.
The provider is located at 706 HIGHWAY 51 N BROOKHAVEN, MS 39601 and the phone number is (601) 990-2315.
Hospice Care, Community Based with taxonomy code 251G00000X.
The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Arkansas Health &. Please consult your insurance carrier or call the provider to verify.
