ODYSSEY HEALTHCARE OPERATING A LP NPI 1750382750

NPI Information

NPI: 1750382750
Provider Name: ODYSSEY HEALTHCARE OPERATING A LP

Doing Business As: GENTIVA

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

Address:
10800 FINANCIAL CENTRE PARKWAY
SUITE 380
LITTLE ROCK, AR
ZIP 72211
Phone: (501) 223-8868
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ODYSSEY HEALTHCARE OPERATING A LP is a hospice care community based in Little Rock, AR. ODYSSEY HEALTHCARE OPERATING A LP NPI is 1750382750. The provider is registered as an organization entity type.
The provider Is Doing Business As Gentiva.

The provider's business location address is:

10800 FINANCIAL CENTRE PARKWAY
SUITE 380
LITTLE ROCK, AR
ZIP 72211-508
Phone: (501) 223-8868
Fax: (501) 223-8623

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

The CLIA number assigned to this NPI record is 04D2118646 - 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 12/9/2022.

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	145426747	MEDICAID	ARKANSAS

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

NPI Synchronization or Removal

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