ODYSSEY HEALTHCARE OPERATING A LP NPI 1043211931

NPI Information

NPI: 1043211931
Provider Name: ODYSSEY HEALTHCARE OPERATING A LP

Doing Business As: GENTIVA

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

Address:
36947 COOK ST
BLDG. 10, SUITE 102
PALM DESERT, CA
ZIP 92211
Phone: (760) 346-2816
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ODYSSEY HEALTHCARE OPERATING A LP is a hospice care community based in Palm Desert, CA. ODYSSEY HEALTHCARE OPERATING A LP NPI is 1043211931. The provider is registered as an organization entity type.
The provider Is Doing Business As Gentiva.

The provider's business location address is:

36947 COOK ST
BLDG. 10, SUITE 102
PALM DESERT, CA
ZIP 92211-078
Phone: (760) 346-2816
Fax: (760) 674-1707

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 05D0931116 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/2/2005 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				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	HPC01716G	MEDICAID	CALIFORNIA

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: 5/5/2024

NPI Synchronization or Removal

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