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HOSPICE OF THE PALM COAST INC NPI 1912932948


NPI Information

NPI: 1912932948
Provider Name: HOSPICE OF THE PALM COAST INC

Doing Business As: ODYSSEY HEALTHCARE

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

CLIA Number: 10D2157368

Address:
6161 BLUE LAGOON DRIVE
SUITE 170
MIAMI, FL
ZIP 33126
Phone: (786) 388-1400
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HOSPICE OF THE PALM COAST INC is a hospice care community based in Miami, FL. HOSPICE OF THE PALM COAST INC NPI is 1912932948. The provider is registered as an organization entity type.
The provider Is Doing Business As Odyssey Healthcare.

The provider's business location address is:

6161 BLUE LAGOON DRIVE
SUITE 170
MIAMI, FL
ZIP 33126-045
Phone: (786) 388-1400
Fax: (786) 388-1401

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 CLIA number assigned to this NPI record is 10D2157368 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 8/25/2009.


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 Based50370970FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1150019800MEDICAIDFLORIDA
2101548MEDICARE 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

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.