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ODYSSEY HEALTHCARE OF KANSAS CITY LLC NPI 1073514600


NPI Information

NPI: 1073514600
Provider Name: ODYSSEY HEALTHCARE OF KANSAS CITY LLC

Doing Business As: GENTIVA

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
20101 E JACKSON DR
INDEPENDENCE, MO
ZIP 64057
Phone: (816) 795-1333
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ODYSSEY HEALTHCARE OF KANSAS CITY LLC is a hospice care community based in Independence, MO. ODYSSEY HEALTHCARE OF KANSAS CITY LLC NPI is 1073514600. The provider is registered as an organization entity type.
The provider Is Doing Business As Gentiva.

The provider's business location address is:

20101 E JACKSON DR
INDEPENDENCE, MO
ZIP 64057-956
Phone: (816) 795-1333
Fax: (816) 795-1711

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

The enumeration date for this NPI number is 8/4/2005 and was last updated on 1/3/2023.


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

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
11073514600MEDICAIDMISSOURI
2826725905MEDICAIDMISSOURI

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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