ODYSSEY HEALTHCARE OPERATING A LP NPI 1053337238

NPI Information

NPI: 1053337238
Provider Name: ODYSSEY HEALTHCARE OPERATING A LP

Doing Business As: ODYSSEY HEALTHCARE OF ROCKFORD

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
6801 SPRING CREEK RD
SUITE 2C
ROCKFORD, IL
ZIP 61114
Phone: (815) 637-2200
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ODYSSEY HEALTHCARE OPERATING A LP is a hospice care community based in Rockford, IL. ODYSSEY HEALTHCARE OPERATING A LP NPI is 1053337238. The provider is registered as an organization entity type.
The provider Is Doing Business As Odyssey Healthcare Of Rockford.

The provider's business location address is:

6801 SPRING CREEK RD
SUITE 2C
ROCKFORD, IL
ZIP 61114-420
Phone: (815) 637-2200
Fax: (815) 637-2900

The provider's authorized official is Rodney Dirk Allison .
The authorized official title is Sr Vp & Cfo and has the following contact phone number (214) 922-9711.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 4/20/2008.

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		2002483	ILLINOIS	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	=========0003	MEDICAID	ILLINOIS
2	141626	MEDICARE OSCAR/CERTIFICATION

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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