Active NPI
Odyssey Healthcare Holding Company
Doing business as Heartland Hospice
- Community Based Hospice Care Agency
- Plantation, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- ODYSSEY HEALTHCARE HOLDING COMPANY
- Doing business as
- Heartland Hospice
- Practice address
- 150 S Pine Island Rd Ste 540
Plantation, FL 33324-2667 - Phone
- (954) 467-7423
- NPI assigned
- Mar 9, 2023
- Last updated
- Dec 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janet Combs
- Title
- VP of Licensure
- Phone
- (704) 664-2876
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
150 S Pine Island Rd Ste 540
Plantation, FL 33324-2667
Mailing address
PO Box 4060
Mooresville, NC 28117-4060
Phone (704) 664-2876
Other names 1
- Heartland Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231222002032 | FL | Part A Provider - Hospice | 6002723004 | Practice locations: Hallandale Beach, FL; Plantation, FL; South Miami, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1013617786. Details of each certification follow.
Hospice certification: CCN 101502
- Legal name
- ODYSSEY HEALTHCARE HOLDING COMPANY
- Doing business as
- HEARTLAND HOSPICE (BROWARD)
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Nov 1, 1983
- Last certification
- Dec 4, 2021
- Ownership / control type
- Non-Profit - Other
- Organization structure
- Corporation
- Incorporated
- Nov 17, 2000 in DE
- Enrollment address
- 150 S Pine Island Rd
Ste 540
Plantation, FL 33324-2667
Other NPIs with the same Medicare PAC ID 16
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Gentiva
- Community Based Hospice Care Agency
- Jacksonville, FL
- NPI 1093415762
6002723004
-
dba Heartland Hospice (Woodbury)
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Laurel Springs, NJ
- NPI 1477334985
6002723004
-
dba Heartland
- Community Based Hospice Care Agency
- Mason, MI
- NPI 1013617794
6002723004
-
dba Heartland
- Community Based Hospice Care Agency
- Grand Rapids, MI
- NPI 1114627890
6002723004
-
dba Heartland
- Community Based Hospice Care Agency
- Ann Arbor, MI
- NPI 1174224612
6002723004
-
dba Heartland
- Community Based Hospice Care Agency
- Eau Claire, WI
- NPI 1235839929
6002723004
-
dba Heartland
- Community Based Hospice Care Agency
- Stevens Point, WI
- NPI 1265132963
6002723004
-
dba Heartland
- Community Based Hospice Care Agency
- Midland, MI
- NPI 1306546080
6002723004
-
dba Heartland Hospice (Green Bay)
- Community Based Hospice Care Agency
- De Pere, WI
- NPI 1366143810
6002723004
-
dba Heartland
- Community Based Hospice Care Agency
- West Branch, MI
- NPI 1467152140
6002723004
-
dba Heartland
- Community Based Hospice Care Agency
- Fond Du Lac, WI
- NPI 1558061242
6002723004
-
dba Heartland
- Community Based Hospice Care Agency
- Madison, WI
- NPI 1710687405
6002723004
Care Compare: Hospice
Medicare Care Compare- Listed as
- Heartland Hospice (Broward)
- Ownership
- Non-Profit
- Certified
- Nov 1, 1983
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1032984 | Odyssey Healthcare Holding Company | Certificate of waiver | Nov 1, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Odyssey Healthcare Holding Company
Other organizations with this tax ID 18
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Gentiva
- Community Based Hospice Care Agency
- Jacksonville, FL
- NPI 1093415762
-
dba Heartland Hospice (Woodbury)
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Laurel Springs, NJ
- NPI 1477334985
-
- Community Based Hospice Care Agency
- Indianapolis, IN
- NPI 1891226189
-
dba Heartland
- Community Based Hospice Care Agency
- Mason, MI
- NPI 1013617794
-
dba Heartland
- Community Based Hospice Care Agency
- Grand Rapids, MI
- NPI 1114627890
-
dba Heartland
- Community Based Hospice Care Agency
- Ann Arbor, MI
- NPI 1174224612
-
dba Heartland
- Community Based Hospice Care Agency
- Eau Claire, WI
- NPI 1235839929
-
dba Heartland
- Community Based Hospice Care Agency
- Stevens Point, WI
- NPI 1265132963
-
dba Heartland
- Community Based Hospice Care Agency
- Midland, MI
- NPI 1306546080
-
dba Heartland Hospice (Green Bay)
- Community Based Hospice Care Agency
- De Pere, WI
- NPI 1366143810
-
dba Heartland
- Community Based Hospice Care Agency
- West Branch, MI
- NPI 1467152140
-
- Community Based Hospice Care Agency
- Northfield, NJ
- NPI 1497686893
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Heartland
- Community Based Hospice Care Agency
- Fairfax, VA
- NPI 1447959762
Member Of
Locations
1171 S Van Dyke Rd
Ste Cd
Bad Axe, MI 48413
Phone (989) 269-2472
1053 W Main St
Fremont, MI 49412
Phone (231) 924-0153
2150 Association Dr
Ste 200
Okemos, MI 48864
Phone (517) 244-0404
1600 Madison Ave
Ste 105
Mankato, MN 56001
Phone (507) 779-7147
7389 Airport View Dr SW
Ste 300
Rochester, MN 55902
Phone (507) 292-1170
1385 Chews Landing Rd
Laurel Springs, NJ 08021
Phone (856) 251-0707
Ownership & related parties
All disclosed owners & managing parties 21
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| CH Services Midco Holdings Inc | 5% Or Greater Indirect Ownership Interest | Feb 5, 2015 | 100% |
| Kentucky Homecare Parent Inc. | 5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 40% |
| Ronald C Lazas | Corporate Officer | Apr 27, 2021 | |
| Corporate Director | Apr 27, 2021 | ||
| Curo Health Services Holdings, Inc | 5% Or Greater Indirect Ownership Interest | Jun 6, 2014 | 100% |
| David Robinson Arnold | Corporate Officer | Dec 31, 2021 | |
| Operational/Managerial Control | Dec 31, 2021 | ||
| Odyssey Healthcare Inc. | 5% Or Greater Direct Ownership Interest | Jul 1, 2001 | 100% |
| Thomas Joseph Dolan | Corporate Officer | Nov 30, 2021 | |
| Charlotte Midco, LLC | 5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 100% |
| Kentucky Homecare Holdings, Inc. | 5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 40% |
| Humana Inc | 5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 40% |
| Falcon Hospice, LP | 5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 100% |
| David Allen Causby | Corporate Officer | Apr 27, 2021 | |
| Corporate Director | Apr 27, 2021 | ||
| Charlotte Buyer, Inc. | 5% Or Greater Indirect Ownership Interest | Jul 11, 2018 | 100% |
| Curo Health Services LLC | 5% Or Greater Indirect Ownership Interest | Jul 11, 2018 | 100% |
| Janet L Combs | Corporate Officer | Nov 1, 2021 | |
| Patti George-King | W-2 Managing Employee | Nov 30, 2015 | |
| CD&R Falcon Holdings, LP | 5% Or Greater Indirect Ownership Interest | Dec 22, 2022 | 60% |
| Centerwell Health Services Inc | 5% Or Greater Indirect Ownership Interest | Dec 22, 2022 | 40% |
| Kah Hospice Company, Inc | 5% Or Greater Indirect Ownership Interest | Mar 1, 2022 | 100% |
| CH Services Group Holdings Inc | 5% Or Greater Indirect Ownership Interest | Feb 5, 2015 | 100% |
| CH Services Holdings Inc | 5% Or Greater Indirect Ownership Interest | Jun 6, 2014 | 100% |
Owners & managing parties with NPI records 18
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Heartland
- Community Based Hospice Care Agency
- Fort Wayne, IN
- NPI 1013616515
5% Or Greater Indirect Ownership Interest
-
dba Heartland
- Community Based Hospice Care Agency
- Wichita, KS
- NPI 1013618180
5% Or Greater Indirect Ownership Interest
-
dba Heartland Hospice (Des Moines)
- Community Based Hospice Care Agency
- Ames, IA
- NPI 1043911753
5% Or Greater Indirect Ownership Interest
-
dba Heartland
- Community Based Hospice Care Agency
- Virginia Beach, VA
- NPI 1164121489
5% Or Greater Indirect Ownership Interest
-
dba Heartland
- Community Based Hospice Care Agency
- Davenport, IA
- NPI 1164123873
5% Or Greater Indirect Ownership Interest
-
dba Heartland
- Community Based Hospice Care Agency
- Beltsville, MD
- NPI 1184323693
5% Or Greater Indirect Ownership Interest
-
dba Heartland
- Community Based Hospice Care Agency
- Lincoln, NE
- NPI 1255030763
5% Or Greater Indirect Ownership Interest
-
dba Heartland Hospice (Myrtle Beach)
- Community Based Hospice Care Agency
- Myrtle Beach, SC
- NPI 1306545629
5% Or Greater Indirect Ownership Interest
-
dba Heartland Hospice (St. Louis)
- Community Based Hospice Care Agency
- Saint Louis, MO
- NPI 1437858941
5% Or Greater Indirect Ownership Interest
-
dba Heartland
- Community Based Hospice Care Agency
- Fairfax, VA
- NPI 1447959762
5% Or Greater Indirect Ownership Interest
-
dba Heartland
- Community Based Hospice Care Agency
- Newport News, VA
- NPI 1528767845
5% Or Greater Indirect Ownership Interest
-
dba Heartland
- Community Based Hospice Care Agency
- Windsor Mill, MD
- NPI 1558060061
5% Or Greater Indirect Ownership Interest
All facility ownership & control disclosures 70
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Gentiva I | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Sep 1, 2002 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Jul 1, 2001 |
| Gentiva I | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Jul 1, 2001 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Nov 13, 2003 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Aug 28, 2003 |
| Gentiva I | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Mar 6, 2008 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Mar 6, 2008 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Mar 6, 2008 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Mar 6, 2008 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Mar 6, 2008 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Mar 6, 2008 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Mar 6, 2008 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Mar 6, 2008 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Sep 25, 2003 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Sep 1, 2001 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Jul 1, 2001 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Mar 6, 2008 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Jul 1, 2001 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Jun 1, 2002 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Mar 6, 2008 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Mar 6, 2008 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Mar 6, 2008 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Mar 6, 2008 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Mar 6, 2008 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Sep 2, 2005 |
| Gentiva I | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Mar 6, 2008 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Apr 9, 2002 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Mar 6, 2008 |
| Gentiva I | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Mar 6, 2008 |
| Gentiva II | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Jul 1, 2001 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Jul 1, 2001 |
| Gentiva I | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Feb 28, 2008 |
| Gentiva I | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Mar 6, 2008 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Jul 1, 2001 |
| Gentiva I | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Feb 1, 2016 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Feb 21, 2002 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Jun 21, 2004 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Sep 16, 2004 |
| Gentiva I | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Mar 6, 2008 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Aug 1, 2002 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Jul 1, 2001 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Feb 1, 2016 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Feb 1, 2016 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Dec 15, 2004 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Feb 1, 2016 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2009 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Nov 1, 2009 |
| Gentiva I | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Feb 1, 2016 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Feb 1, 2016 |
| Gentiva I | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Aug 4, 2011 |
| Gentiva III | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Jul 22, 2012 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Feb 1, 2016 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Feb 1, 2016 |
| Gentiva III | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | May 1, 2013 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2016 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Jul 1, 2016 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Feb 1, 2016 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Feb 1, 2016 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Feb 1, 2016 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Feb 1, 2016 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Feb 1, 2016 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Feb 1, 2016 |
| Gentiva | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Jul 1, 2001 |
| Heartland Hospice | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Jul 1, 2001 |
| Heartland Hospice | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Jul 1, 2001 |
| Heartland Hospice | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Jul 1, 2001 |
| Heartland Hospice (Cincinnati) | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Jul 1, 2001 |
| Heartland Hospice | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Jul 1, 2001 |
| Heartland Hospice (Portsmouth) and Heartland Hospice (Jackson) | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Jul 1, 2001 |
| Heartland Hospice (Sylvania) | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Jul 1, 2001 |
Owned or controlled facilities with NPI records 70
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Gentiva
- Community Based Hospice Care Agency
- Miami, FL
- NPI 1114159902
5% Or Greater Indirect Ownership Interest
-
dba Gentiva
- Community Based Hospice Care Agency
- Orlando, FL
- NPI 1528439700
5% Or Greater Indirect Ownership Interest
-
dba Gentiva
- Community Based Hospice Care Agency
- Albuquerque, NM
- NPI 1033127147
5% Or Greater Indirect Ownership Interest
-
dba Gentiva
- Community Based Hospice Care Agency
- Dallas, TX
- NPI 1033129887
5% Or Greater Indirect Ownership Interest
-
dba Gentiva
- Community Based Hospice Care Agency
- Lubbock, TX
- NPI 1720098585
5% Or Greater Indirect Ownership Interest
-
dba Gentiva
- Community Based Hospice Care Agency
- San Antonio, TX
- NPI 1265441190
5% Or Greater Indirect Ownership Interest
-
dba Gentiva
- Community Based Hospice Care Agency
- Temple, TX
- NPI 1588674352
5% Or Greater Indirect Ownership Interest
-
dba Gentiva
- Community Based Hospice Care Agency
- San Angelo, TX
- NPI 1609822295
5% Or Greater Indirect Ownership Interest
-
dba Gentiva
- Community Based Hospice Care Agency
- San Marcos, TX
- NPI 1790795524
5% Or Greater Indirect Ownership Interest
-
dba Gentiva
- Community Based Hospice Care Agency
- Hobbs, NM
- NPI 1972511061
5% Or Greater Indirect Ownership Interest
-
dba Gentiva
- Community Based Hospice Care Agency
- Flint, MI
- NPI 1346247244
5% Or Greater Indirect Ownership Interest
-
dba Gentiva
- Community Based Hospice Care Agency
- Kansas City, MO
- NPI 1073514600
5% Or Greater Indirect Ownership Interest
Facilities with the same owner 196
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Gentiva
- Community Based Hospice Care Agency
- Jacksonville, FL
- NPI 1093415762
Curo Health Services LLC, Odyssey Healthcare Inc.
-
dba Gentiva
- Community Based Hospice Care Agency
- Miami, FL
- NPI 1114159902
Curo Health Services LLC, Odyssey Healthcare Inc.
-
dba Gentiva
- Community Based Hospice Care Agency
- Orlando, FL
- NPI 1528439700
Curo Health Services LLC, Odyssey Healthcare Inc.
-
dba Gentiva I
- Community Based Hospice Care Agency
- Pensacola, FL
- NPI 1730326828
Curo Health Services LLC
-
dba Gentiva
- Community Based Hospice Care Agency
- Waco, TX
- NPI 1215156021
Curo Health Services LLC
-
dba Gentiva
- Community Based Hospice Care Agency
- Livingston, TX
- NPI 1407047590
Curo Health Services LLC
-
dba New Century Hospice of Austin
- Community Based Hospice Care Agency
- Austin, TX
- NPI 1013901719
Curo Health Services LLC
-
dba Gentiva
- Community Based Hospice Care Agency
- Conyers, GA
- NPI 1104031863
Curo Health Services LLC
-
dba Gentiva
- Community Based Hospice Care Agency
- Edina, MN
- NPI 1902343353
Curo Health Services LLC
-
dba Gentiva
- Community Based Hospice Care Agency
- Cincinnati, OH
- NPI 1316484785
Curo Health Services LLC
-
dba Gentiva
- Community Based Hospice Care Agency
- Georgetown, TX
- NPI 1295899284
Curo Health Services LLC
-
dba Gentiva
- Community Based Hospice Care Agency
- Fayetteville, NC
- NPI 1528015369
Curo Health Services LLC
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Nov 1, 2023 | Change of Ownership | Promedica Hospice (Broward) |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba ProMedica Hospice (Broward)
- Community Based Hospice Care Agency
- Plantation, FL
- NPI 1669768594
Acquired from, 2023-11-01
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Health Nurse Practitioner
- Berlin, NJ
- NPI 1104029669
-
- Gerontology Nurse Practitioner
- Sewell, NJ
- NPI 1578270757
-
- Nurse Practitioner
- Carneys Point, NJ
- NPI 1689181166
-
- Gerontology Nurse Practitioner
- Pleasantville, NJ
- NPI 1831721851
-
- Nurse Practitioner
- Toms River, NJ
- NPI 1548384068
-
- Family Medicine Physician
- Grand Rapids, MI
- NPI 1053349993
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733184000000",
"number": "1013617786",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 S PINE ISLAND RD STE 540",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333242667",
"telephone_number": "954-467-7423"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ODYSSEY HEALTHCARE HOLDING COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-09",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A",
"authorized_official_last_name": "COMBS",
"authorized_official_first_name": "JANET",
"authorized_official_title_or_position": "VP OF LICENSURE",
"authorized_official_telephone_number": "704-664-2876"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Heartland Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.