ODYSSEY HEALTHCARE OPERATING A LP NPI 1033110994

NPI Information

NPI: 1033110994
Provider Name: ODYSSEY HEALTHCARE OPERATING A LP

Doing Business As: GENTIVA

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
181 METRO DR STE 540
SAN JOSE, CA
ZIP 95110
Phone: (408) 441-0223
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ODYSSEY HEALTHCARE OPERATING A LP is a hospice care community based in San Jose, CA. ODYSSEY HEALTHCARE OPERATING A LP NPI is 1033110994. The provider is registered as an organization entity type.
The provider Is Doing Business As Gentiva.

The provider's business location address is:

181 METRO DR STE 540
SAN JOSE, CA
ZIP 95110-346
Phone: (408) 441-0223
Fax: (408) 441-0244

The provider's authorized official is Janet Combs .
The authorized official title is Vp Of Licensure and has the following contact phone number (704) 664-2876.

The enumeration date for this NPI number is 8/2/2005 and was last updated on 11/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1033110994	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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