Organization Active NPI

Odyssey Healthcare Operating a LP

Doing business as Gentiva I

  • Community Based Hospice Care Agency
  • Arlington Heights, IL
National Provider Identifier
1124029848
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ODYSSEY HEALTHCARE OPERATING A LP
Doing business as
Gentiva I
Kindred Hospice
Practice address
85 W Algonquin Rd Ste 100
Arlington Heights, IL 60005-4420
Phone
(847) 439-0348
Fax
(847) 439-0508
NPI assigned
Aug 3, 2005
Last updated
Jan 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

85 W Algonquin Rd Ste 100
Arlington Heights, IL 60005-4420

Mailing address

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

Other names 2

  • Gentiva I Doing business as
  • Kindred Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050826000418 IL Part A Provider - Hospice 4385551035 Practice locations: Arlington Heights, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124029848. Details of each certification follow.

Hospice certification: CCN 141608

Legal name
ODYSSEY HEALTHCARE OPERATING A LP
Doing business as
GENTIVA I
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 5, 2002
Last certification
Jul 28, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
PartnershipProprietary
Enrollment address
85 W Algonquin Rd
Ste 100
Arlington Heights, IL 60005-4420

Care Compare: Hospice

Medicare Care Compare
Listed as
Kindred HospiceCCN 141608 · All quality measures
Ownership
For-Profit
Certified
Sep 5, 2002
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2155743Odyssey Healthcare Operating a , L P85 W Algonquin Rd - Ste 100, Arlington Heights, IL 60005Certificate of waiverOct 2, 2026

National Provider Directory

National Provider Directory
Tax ID family
Odyssey Healthcare Operating a LP41 organizations share this tax ID, including this one

Other organizations with this 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.

Locations

85 W Algonquin Rd
Ste 100
Arlington Heights, IL 60005
Phone (847) 357-0557

800 Enterprise Dr
Ste 111
Oak Brook, IL 60523
Phone (708) 409-3040

Ownership & related parties

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, Holding company, 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 OfficerExecutive VP and General Counsel Apr 27, 2021
Curo Health Services Holdings, Inc Organization, Mooresville, NC Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
David Robinson Arnold Individual Corporate OfficerVP, Treasurer and Controller Dec 31, 2021
Operational/Managerial ControlChain Home Office Administrator Dec 31, 2021
Ruksana Papa Individual W-2 Managing EmployeeMD; Jun 2, 2022
Odyssey Healthcare Inc. Organization, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2016 100%
Jennifer Tyler Individual Other Dec 1, 2025
Thomas Joseph Dolan Individual Corporate OfficerChief Financial Officer Nov 30, 2021
Charlotte Midco, LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 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, Louisville, KY LLC, For-profit 5% Or Greater Indirect 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%
Limited Partnership 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 5% Or Greater Indirect Ownership Interest Jul 18, 2018 100%
Operational/Managerial Control Jul 11, 2018 100%
Kristen a Wright Individual W-2 Managing EmployeeAd; May 26, 2026
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, Louisville, KY LLC, For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2016 1%
General Partnership Interest Feb 1, 2016 1%
CD&R Falcon Holdings, LP Organization, New York, NY Holding company 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, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
CH Services Holdings Inc Organization, Mooresville, NC Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%

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

All facility ownership & control disclosures 1

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

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

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 12

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": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1124029848",
    "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": "85 W ALGONQUIN RD STE 100",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054420",
            "telephone_number": "847-439-0348",
            "fax_number": "847-439-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY HEALTHCARE OPERATING A LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "VP OF LICENSURE",
        "authorized_official_telephone_number": "704-662-1761",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentiva I",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.