NPIMap

Odyssey Healthcare Operating a, LP

Organization Active NPI Community Based Hospice Care Agency · Texarkana, AR

NPI 1003266040 · NPPES record last updated Feb 23, 2023

Key facts

NPI
1003266040
Entity type
Organization (NPI type 2)
Primary specialty
Community Based Hospice Care Agency 251G00000X
Legal business name
ODYSSEY HEALTHCARE OPERATING A, LP
Practice address
210 N State Line Ave Ste 502
Texarkana, AR 71854-5912
Phone
(870) 330-7798
Fax
(870) 774-0644
NPI assigned
Jun 21, 2016
Organization subpart
No

Authorized official

Name
Janet Combs
Title
VP of Licensure
Phone
(704) 662-1761

Owners & managing parties with NPI records 36

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 36

Corporate family (same tax ID) 40

Organizations that report the same tax identification number in the National Provider Directory.

View all 40

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Facilities with the same owner 196

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 196

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare Care Compare: Hospice

Listed as
Gentiva CCN 041532
Ownership
For-Profit
Certified
Mar 10, 1993
Medicare certification status
Active (Provider of Services file)

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2118620Gentiva
210 N State Line Avenue, Suite 502, Texarkana, AR 71854		Certificate of waiverSep 11, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AR

Hospice certification: CCN 041532

Legal name
ODYSSEY HEALTHCARE OPERATING A LP
Doing business as
GENTIVA
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 10, 1993
Last certification
Nov 18, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
Partnership · Proprietary
Incorporated
Mar 11, 1998 in DE
Enrollment address
210 N State Ave
Ste 502
Texarkana, AR 71854-5912

All disclosed owners & managing parties 25

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
CH Services Midco Holdings Inc
Organization · Mooresville, NC
Corporation, For-profit 		5% Or Greater Indirect Ownership Interest May 1, 2022 100%
Kentucky Homecare Parent Inc.
Organization · Atlanta, GA
Corporation, For-profit 		5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Ronald C Lazas
Individual 		Corporate Officer
Secretary, General Counsel and B		 Apr 27, 2021
Curo Health Services Holdings, Inc
Organization · Mooresville, NC
Corporation, For-profit 		5% Or Greater Indirect Ownership Interest May 1, 2022 100%
David Robinson Arnold
Individual 		Corporate Officer
Officer		 Dec 31, 2021
Other
Chain Home Officer		 Dec 31, 2021
Odyssey Healthcare Inc.
Organization · Atlanta, GA
Corporation, For-profit 		5% Or Greater Indirect Ownership Interest Feb 1, 2016 100%
Thomas Joseph Dolan
Individual 		Corporate Officer
Cfo		 Nov 30, 2021
James W Miller
Individual 		Contracted Managing Employee
MD;		 Feb 1, 2020
Charlotte Midco, LLC
Organization · Atlanta, GA
LLC, For-profit 		5% Or Greater Indirect Ownership Interest Aug 11, 2022 100%
Kentucky Homecare Holdings, Inc.
Organization · Atlanta, GA
Corporation, Holding company, For-profit 		5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Odyssey Healthcare LP, LLC
Organization · Atlanta, GA
LLC, For-profit 		5% Or Greater Direct Ownership Interest Feb 1, 2016 99%
Limited Partnership Interest Feb 1, 2016 99%
Humana Inc
Organization · Louisville, KY
Corporation, For-profit 		5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Falcon Hospice, LP
Organization · Atlanta, GA
For-profit 		5% Or Greater Indirect Ownership Interest Aug 11, 2022 100%
David Allen Causby
Individual 		Corporate Officer
Ceo		 Apr 27, 2021
Charlotte Buyer, Inc.
Organization · Mooresville, NC
Corporation, For-profit 		5% Or Greater Indirect Ownership Interest May 1, 2022 100%
Curo Health Services LLC
Organization · Mooresville, NC
LLC, For-profit, Chain home office 		5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Odyssey Healthcare Holding Company
Organization · Atlanta, GA
Holding company, For-profit 		5% Or Greater Indirect Ownership Interest Feb 1, 2016 100%
Odyssey Healthcare GP, LLC
Organization · Atlanta, GA
LLC, For-profit 		General Partnership Interest Feb 1, 2016 1%
Janet L Combs
Individual 		Corporate Officer
VP of Licensing		 Nov 1, 2021
CD&R Falcon Holdings, LP
Organization · New York, NY
Holding company, For-profit 		5% Or Greater Indirect Ownership Interest Aug 11, 2022 60%
Centerwell Health Services Inc
Organization · Atlanta, GA
Corporation, For-profit 		5% Or Greater Indirect Ownership Interest Dec 22, 2022 40%
Kah Hospice Company, Inc
Organization · Atlanta, GA
Corporation, For-profit 		5% Or Greater Indirect Ownership Interest May 1, 2022 100%
Adrian Sidwell
Individual 		W-2 Managing Employee
Ad;		 Jun 16, 2025
CH Services Group Holdings Inc
Organization · Mooresville, NC
Corporation, For-profit 		5% Or Greater Indirect Ownership Interest May 1, 2022 100%
CH Services Holdings Inc
Organization · Mooresville, NC
Corporation, For-profit 		5% Or Greater Indirect Ownership Interest May 1, 2022 100%

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Gentiva
Harlingen, TX · CCN 451667		 Hospice 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2016

Change-of-ownership history

DateEventCounterparty
May 1, 2022 Change of Ownership
This provider was the buyer		 Kindred Hospice I
CCN 041532 · AR · NPI 1003266040
May 1, 2022 Change of Ownership
This provider was the seller		 Gentiva
CCN 041532 · AR · NPI 1003266040

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20220608000853 AR Part a Provider - Hospice 4385551035 Practice locations: Texarkana, AR

National Provider Directory

Tax ID family
Odyssey Healthcare Operating a LP (41 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Yes

Addresses

Primary practice location

210 N State Line Ave Ste 502
Texarkana, AR 71854-5912

Mailing address

PO Box 4060
Mooresville, NC 28117-4060
Phone (704) 664-2876

Other identifiers

IdentifierTypeStateIssuer
216190747MedicaidAR

Other names

  • Gentiva Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 23, 2023.

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1003266040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4060",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281174060",
            "telephone_number": "704-664-2876",
            "fax_number": "704-664-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N STATE LINE AVE STE 502",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718545912",
            "telephone_number": "870-330-7798",
            "fax_number": "870-774-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY HEALTHCARE OPERATING A, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-21",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "VP OF LICENSURE",
        "authorized_official_telephone_number": "704-662-1761"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216190747",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentiva",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Texarkana, AR

All providers in Texarkana, AR · Community Based Hospice Care Agency in Arkansas

Sources for this page

Verify at the official NPI Registry.