HOSPICE OF THE PALM COAST INC NPI 1730180076

NPI Information

NPI: 1730180076
Provider Name: HOSPICE OF THE PALM COAST INC

Doing Business As: ODYSSEY HEALTHCARE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
149 S RIDGEWOOD AVE
SUITE 600
DAYTONA BEACH, FL
ZIP 32114
Phone: (386) 248-2380
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HOSPICE OF THE PALM COAST INC is a hospice care community based in Daytona Beach, FL. HOSPICE OF THE PALM COAST INC NPI is 1730180076. The provider is registered as an organization entity type.
The provider Is Doing Business As Odyssey Healthcare.

The provider's business location address is:

149 S RIDGEWOOD AVE
SUITE 600
DAYTONA BEACH, FL
ZIP 32114-365
Phone: (386) 248-2380
Fax: (386) 248-2388

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 8/9/2005 and was last updated on 8/1/2007.

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		50370968	FLORIDA	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	101546	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: 5/5/2024

NPI Synchronization or Removal

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