ODYSSEY HEALTHCARE OPERATING A LP NPI 1265578405

NPI Information

NPI: 1265578405
Provider Name: ODYSSEY HEALTHCARE OPERATING A LP

Doing Business As: ODYSSEY HEALTHCARE OF FORT WAYNE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
312 E DUPONT ROAD
SUITE 200
FORT WAYNE, IN
ZIP 46825
Phone: (260) 490-3330
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ODYSSEY HEALTHCARE OPERATING A LP is a hospice care community based in Fort Wayne, IN. ODYSSEY HEALTHCARE OPERATING A LP NPI is 1265578405. The provider is registered as an organization entity type.
The provider Is Doing Business As Odyssey Healthcare Of Fort Wayne.

The provider's business location address is:

312 E DUPONT ROAD
SUITE 200
FORT WAYNE, IN
ZIP 46825-048
Phone: (260) 490-3330
Fax: (260) 490-3333

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 enumeration date for this NPI number is 1/29/2007 and was last updated on 11/5/2007.

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		007361	INDIANA	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	151598	MEDICARE 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: 11/14/2023

NPI Synchronization or Removal

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