NPIMap

Organization Active NPI

Odyssey Healthcare of Marion County, LLC

Doing business as Gentiva

  • Community Based Hospice Care Agency
  • Miami, FL
National Provider Identifier
1114159902
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ODYSSEY HEALTHCARE OF MARION COUNTY, LLC
Doing business as
Gentiva
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
Last updated
Jul 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Tyler
Title
VP of Regulatory Counsel
Phone
(678) 449-0459

Specialties & licenses 1

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

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 names 1

  • Gentiva Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091021000682 FL Part A Provider - Hospice 7315084480 Practice locations: Deland, FL; Palm Coast, FL; Ocala, FL; Miami, FL; Key Largo, FL; Daytona Beach, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114159902. Details of each certification follow.

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
LLCProprietary
Enrollment address
6161 Blue Lagoon Dr
Ste 170
Miami, FL 33126-2045

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
GentivaCCN 101548 · All quality measures
Ownership
For-Profit
Certified
Jun 5, 2006
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Odyssey Healthcare of Marion County LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Member of 2

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

Ownership & related parties

All disclosed owners & managing parties 24

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 Mar 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 OfficerGen Counsel and Corporate Secretary Apr 27, 2021
Curo Health Services Holdings, Inc Organization, Mooresville, NC 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
David Robinson Arnold Individual Corporate OfficerVP and Controller Dec 31, 2021
W-2 Managing EmployeeHome Office Administrator Dec 31, 2021
Odyssey Healthcare Inc. Organization, Louisville, KY Holding company 5% Or Greater Indirect Ownership Interest Nov 1, 2009 100%
Thomas Joseph Dolan Individual Corporate OfficerChief Financial Officer Nov 30, 2021
Odyssey Healthcare Operating B, LP Organization, Louisville, KY For-profit 5% Or Greater Direct Ownership Interest Nov 1, 2009 100%
Chadia Perez Individual W-2 Managing EmployeeAdministrator Nov 24, 2017
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, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Odyssey Healthcare LP, LLC Organization, Mooresville, NC LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 99%
Limited Partnership Interest Jan 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 OfficerChief Executive Officer / President Apr 27, 2021
Charlotte Buyer, Inc. Organization, Mooresville, NC Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Curo Health Services LLC Organization, Mooresville, NC LLC, For-profit Operational/Managerial Control Jul 11, 2018
Odyssey Healthcare Holding Company Organization, Louisville, KY Corporation 5% Or Greater Indirect Ownership Interest Nov 1, 2009 100%
Janet L Combs Individual Corporate OfficerVP, Licensure Nov 1, 2021
CD&R Falcon Holdings, LP Organization, New York, NY 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 Aug 11, 2022 40%
Kah Hospice Company, Inc Organization, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
CH Services Group Holdings Inc Organization, Mooresville, NC Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
CH Services Holdings Inc Organization, Mooresville, NC Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%

Owners & managing parties with NPI records 48

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

View all 48

Facilities with the same owner 196

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

View all 196

Practitioners & affiliated clinicians

Affiliated clinicians 27

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

View all 27

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1114159902",
    "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": "6161 BLUE LAGOON DR STE 170",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262045",
            "telephone_number": "786-388-1400",
            "fax_number": "786-388-1401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "929 N Spring Garden Ave Ste 145",
            "address_purpose": "LOCATION",
            "city": "Deland",
            "state": "FL",
            "postal_code": "327200916",
            "country_code": "US",
            "telephone_number": "386-490-1749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1320 SE 25th Loop Ste 101",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344711024",
            "country_code": "US",
            "telephone_number": "352-622-9331",
            "fax_number": "352-622-6418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1717 N Clyde Morris Blvd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321175532",
            "country_code": "US",
            "telephone_number": "386-274-1004",
            "fax_number": "386-274-3388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103400 Overseas Hwy Ste 235",
            "address_purpose": "LOCATION",
            "city": "Key Largo",
            "state": "FL",
            "postal_code": "330372849",
            "country_code": "US",
            "telephone_number": "305-451-7005",
            "fax_number": "305-451-7006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13400 SW 120th St Ste 300C",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331867441",
            "country_code": "US",
            "telephone_number": "786-214-8138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 City Pl Ste 200A",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321642480",
            "country_code": "US",
            "telephone_number": "386-597-6306",
            "fax_number": "386-597-6316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ODYSSEY HEALTHCARE OF MARION COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-13",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "VP OF REGULATORY COUNSEL",
        "authorized_official_telephone_number": "678-449-0459"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentiva",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.