ODYSSEY HOSPICE CARE INC. NPI 1740777051

NPI Information

NPI: 1740777051
Provider Name: ODYSSEY HOSPICE CARE, INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2159973

Address:
9017 RESEDA BLVD STE 211
NORTHRIDGE, CA
ZIP 91324
Phone: (818) 324-9185
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ODYSSEY HOSPICE CARE, INC. is a hospice care community based in Northridge, CA. ODYSSEY HOSPICE CARE, INC. NPI is 1740777051. The provider is registered as an organization entity type.

The provider's business location address is:

9017 RESEDA BLVD STE 211
NORTHRIDGE, CA
ZIP 91324-979
Phone: (818) 324-9185
Fax: (818) 344-2171

The provider's authorized official is Gloria O. Mehlman .
The authorized official title is Ceo/administrator and has the following contact phone number (981) 832-4918.

The CLIA number assigned to this NPI record is 05D2159973 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/23/2018 and was last updated on 4/23/2018.

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

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: 11/14/2023

NPI Synchronization or Removal

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