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ODYSSEY HEALTHCARE OPERATING A LP NPI 1952542177


NPI Information

NPI: 1952542177
Provider Name: ODYSSEY HEALTHCARE OPERATING A, LP

Doing Business As: GENTIVA

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

CLIA Number: 05D2160516

Address:
4820 BUSINESS CENTER DR STE 105
FAIRFIELD, CA
ZIP 94534
Phone: (707) 639-4155
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ODYSSEY HEALTHCARE OPERATING A, LP is a hospice care community based in Fairfield, CA. ODYSSEY HEALTHCARE OPERATING A, LP NPI is 1952542177. The provider is registered as an organization entity type.
The provider Is Doing Business As Gentiva.

The provider's business location address is:

4820 BUSINESS CENTER DR STE 105
FAIRFIELD, CA
ZIP 94534-901
Phone: (707) 639-4155

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 05D2160516 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/18/2009 and was last updated on 6/22/2023.


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

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