Odyssey Healthcare of Marion County, LLC
Organization Active NPI Community Based Hospice Care Agency · Miami, FL
NPI 1114159902 · NPPES record last updated Jul 10, 2026
Key facts
- NPI
- 1114159902
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- ODYSSEY HEALTHCARE OF MARION COUNTY, LLC
- Practice address
- 6161 Blue Lagoon Dr Ste 170
Miami, FL 33126-2045 - Phone
- (786) 388-1400
- Fax
- (786) 388-1401
- NPI assigned
- Aug 13, 2009
- Organization subpart
- No
Authorized official
- Name
- Jennifer Tyler
- Title
- VP of Regulatory Counsel
- Phone
- (678) 449-0459
Owners & managing parties with NPI records 48
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 2
Member of 3
Facilities with the same owner 196
Affiliated clinicians 27
-
Rafael Abreu, M.D
-
Reinaldo Carvajal, M.D.
-
Jorge R Coll, MD
-
Yamirka Duardo-Guerra, M.D.
-
Fernando Esparza, MD
-
Frank R Fusco, M.D
-
Carlos M Guerra, M.D.
-
David Heise, M.D.
-
Esdras Lopez, MD
-
Agustin Martinez, M.D.
-
Grodonoff Nelson, D.O.
-
Cristian D Nunez, M.D.
-
Manuel A Ojeda, MD
-
Javier Ricardo, MD
Medicare Care Compare: Hospice
- Listed as
- Gentiva
- Ownership
- For-Profit
- Certified
- Jun 5, 2006
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Hospice certification: CCN 101548
- Legal name
- ODYSSEY HEALTHCARE OF MARION COUNTY, LLC
- Doing business as
- GENTIVA
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jun 5, 2006
- Last certification
- Sep 25, 2020
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC · Proprietary
- Enrollment address
- 6161 Blue Lagoon Dr
Ste 170
Miami, FL 33126-2045
All disclosed owners & managing parties 24
| Name | Role | Since | Share |
|---|---|---|---|
| CH Services Midco Holdings Inc |
5% Or Greater Indirect Ownership Interest | Mar 1, 2022 | 100% |
| Kentucky Homecare Parent Inc. |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 40% |
| Ronald C Lazas |
Corporate Officer |
Apr 27, 2021 | |
| Curo Health Services Holdings, Inc |
5% Or Greater Indirect Ownership Interest | Mar 1, 2022 | 100% |
| David Robinson Arnold |
Corporate Officer |
Dec 31, 2021 | |
| W-2 Managing Employee |
Dec 31, 2021 | ||
| Odyssey Healthcare Inc. |
5% Or Greater Indirect Ownership Interest | Nov 1, 2009 | 100% |
| Thomas Joseph Dolan |
Corporate Officer |
Nov 30, 2021 | |
| Odyssey Healthcare Operating B, LP |
5% Or Greater Direct Ownership Interest | Nov 1, 2009 | 100% |
| Chadia Perez |
W-2 Managing Employee |
Nov 24, 2017 | |
| 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% |
| Odyssey Healthcare LP, LLC |
5% Or Greater Indirect Ownership Interest | Mar 1, 2022 | 99% |
| Limited Partnership Interest | Jan 1, 2016 | 99% | |
| 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 | |
| Charlotte Buyer, Inc. |
5% Or Greater Indirect Ownership Interest | Mar 1, 2022 | 100% |
| Curo Health Services LLC |
Operational/Managerial Control | Jul 11, 2018 | |
| Odyssey Healthcare Holding Company |
5% Or Greater Indirect Ownership Interest | Nov 1, 2009 | 100% |
| Janet L Combs |
Corporate Officer |
Nov 1, 2021 | |
| CD&R Falcon Holdings, LP |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 60% |
| Centerwell Health Services Inc |
5% Or Greater Indirect Ownership Interest | Aug 11, 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 | Mar 1, 2022 | 100% |
| CH Services Holdings Inc |
5% Or Greater Indirect Ownership Interest | Mar 1, 2022 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091021000682 | FL | Part a Provider - Hospice | 7315084480 | Practice locations: Deland, FL; Palm Coast, FL; Ocala, FL; Miami, FL; Key Largo, FL; Daytona Beach, FL |
National Provider Directory
- Tax ID family
- Odyssey Healthcare of Marion County LLC
Locations
103400 Overseas Hwy
Ste 235
Key Largo, FL 33037
Phone (305) 451-7005
4861 Palm Coast Pkwy NW
Unit 3
Palm Coast, FL 32137
Phone (386) 597-6306
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
Addresses
Primary practice location
6161 Blue Lagoon Dr Ste 170
Miami, FL 33126-2045
Mailing address
PO Box 4060
Mooresville, NC 28117-4060
Phone (704) 664-2876
Other practice location 1
929 N Spring Garden Ave Ste 145
Deland, FL 32720-0916
Phone (386) 490-1749
Other practice location 2
1320 SE 25th Loop Ste 101
Ocala, FL 34471-1024
Phone (352) 622-9331
Other practice location 3
1717 N Clyde Morris Blvd Ste 130
Daytona Beach, FL 32117-5532
Phone (386) 274-1004
Other practice location 4
103400 Overseas Hwy Ste 235
Key Largo, FL 33037-2849
Phone (305) 451-7005
Other practice location 5
13400 SW 120th St Ste 300C
Miami, FL 33186-7441
Phone (786) 214-8138
Other practice location 6
145 City Pl Ste 200A
Palm Coast, FL 32164-2480
Phone (386) 597-6306
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001572800 | Medicaid | FL |
Other names
- Gentiva
Other providers in Miami, FL
- Yannick Bentley Odiete
- Natalie Odio
- Odl Rehabilitation Center Inc
- Eider Odren Cusco
- Odulamy, Inc
- Odyssey Solutions LLC
- Jamie Rachel Odzer
- Guillermo Enrique Oeding
- Oelsner O. Viera, MSN, Arnp, P.a.
- Daniela Ofarrill
All providers in Miami, FL · Community Based Hospice Care Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.