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ODYSSEY HEALTHCARE OPERATING A LP NPI 1720438765


NPI Information

NPI: 1720438765
Provider Name: ODYSSEY HEALTHCARE OPERATING A, LP

Doing Business As: GENTIVA

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 04D2118690

Address:
915 N WASHINGTON ST STE B-1
FORREST CITY, AR
ZIP 72335
Phone: (870) 270-5461
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ODYSSEY HEALTHCARE OPERATING A, LP is a hospice care community based in Forrest City, AR. ODYSSEY HEALTHCARE OPERATING A, LP NPI is 1720438765. The provider is registered as an organization entity type.
The provider Is Doing Business As Gentiva.

The provider's business location address is:

915 N WASHINGTON ST STE B-1
FORREST CITY, AR
ZIP 72335-824
Phone: (870) 270-5461
Fax: (870) 630-9495

The provider's authorized official is Janet Combs .
The authorized official title is Vp Of Licensure and has the following contact phone number (704) 662-1761.

The CLIA number assigned to this NPI record is 04D2118690 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/21/2016 and was last updated on 11/17/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community BasedYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.