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GENTIVA HEALTH SERVICES - LINCOLN, NE

 



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Submitted by:Cheryl Kubicek, Team Coordinator
Change address to

Gentiva Health Services
8055 "O" Street STE 111
Lincoln, NE 68510
Phone: 402-434-8081
Fax: 402-489-8570

REMOVE Medicaid from: Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID


REMOVE FROM LISITNG
Licensed pract/vocat nurses (Number of full-time equivalent licensed practical or vocational nurses employed by a facility): 19.85 -

REMOVE
Number of employees from all disciplines. Example
Registered nurses (The number of full-time equivalent registered professional nurses employed by a provider): 10.73 - REMOVE THIS NUMBER FROM ALL.

Type of facility - Remove Alcohol and/or hospital. Add: Home Health Agency

Remove all verbiage -Hha qualified for opt

Remove all verbiage for - Hospice Indicator

Remove the word "homemaker" from Srv: home health aide/homemaker

REMOVE
Aide training/competency programs (Indicates how the agency provides home health aide training and competency evaluation programs): COMPETENCY EVALUATION PROG.

Please call Cheryl with questions.

Institution representatives - add corrected or new information about GENTIVA HEALTH SERVICES »

GENTIVA HEALTH SERVICES
1540 SOUTH 70TH STREET SUITE 202
LINCOLN, NE 68506


SHORT TERM HOME HEALTH AGENCIES

Services provided by GENTIVA HEALTH SERVICES:

    Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 2

    Prior change of ownership (The date of a prior change of ownership): Jan 1996

    Licensed pract/vocat nurses (Number of full-time equivalent licensed practical or vocational nurses employed by a facility): 19.85

    Occupational therapists (The number of full time equivalent occupational therapists employed by a provider): 0.01

    Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID

    Registered nurses (The number of full-time equivalent registered professional nurses employed by a provider): 10.73

    Srv: occupational therapy (Indicates how occupational therapy services are provided): PROVIDED BY STAFF

    Srv: physical therapy (Indicates how physical therapy services are provided): PROVIDED BY STAFF

    Type of facility (Indicates the category which represents the type of facility): ALCOHOL AND/OR DRUG HOSPITAL

    Speech pathologists, audiologists (The number of full-time equivalent speech pathologists or audiologists employed by a provider): 0.01

    Aide training/competency programs (Indicates how the agency provides home health aide training and competency evaluation programs): COMPETENCY EVALUATION PROG.

    Branch operation indicator (Indicates if the agency operates any branches): No

    Change of ownership indicator (Indicates if a home health agency has undergone a change of ownership since the last survey): No

    Hha qualified for opt (Indicates if a home health agency is qualified to provide outpatient physical therapy/speech services): No

    Home health aides (Number of full-time equivalent home health aides employed by a home health agency or hospice): 26.83

    Hospice indicator (Indicates if the home health agency also participates in the Medicare program as a hospice): No

    Social workers (The number of full time equivalent social workers employed by the agency): 0.01

    Srv: home health aide/homemaker (Indicates how home health aide services are provided by a home health agency): PROVIDED BY AGENCY STAFF

    Srv: medical social (Indicates how medical social services are provided): PROVIDED BY STAFF

    Srv: nursing (Indicates how nursing services are provided): COMBINATION

    Srv: speech therapy (Indicates how speech therapy services are provided): PROVIDED BY STAFF

    Subunit indicator (Indicates if the agency is a subunit of another agency): No

    Subunit operation indicator (Indicates if the agency operates any subunits): No

    Surety bond indicator (Surety bond indicator, valid values are "n" or "y" or "w"): NO

    Physical therapists on staff (The number of full-time equivalent physical therapists employed by an outpatient physical therapy provider or a home health agency provider): 0.05

    Compliance: status (Indicates if a provider or supplier is in compliance with program requirements): IN COMPLIANCE

    Current survey date (The date of the health or life safety code survey, whichever is later. the "official" survey date for the provider): Jan 2001

    Eligibility code (Indicates if a facility is eligible to participate in the Medicare and/or Medicaid programs): ELIGIBLE TO PARTICIPATE

    Participation date (The date a facility is first approved to provide Medicare and/or Medicaid services): May 1990

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