NPIMap

Organization Active NPI

Odyssey Healthcare Operating B, LP

Doing business as Gentiva

  • Community Based Hospice Care Agency
  • Coeur d'Alene, ID
National Provider Identifier
1225487648
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ODYSSEY HEALTHCARE OPERATING B, LP
Doing business as
Gentiva
Practice address
1321 N Northwood Center CT Ste a
Coeur D Alene, ID 83814-4944
Phone
(208) 765-3452
Fax
(208) 765-3586
NPI assigned
Jun 7, 2016
Last updated
Apr 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

1321 N Northwood Center CT Ste a
Coeur D Alene, ID 83814-4944

Mailing address

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

Other names 1

  • Gentiva Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160630000164 ID Part A Provider - Hospice 3779490511 Practice locations: Coeur D Alene, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225487648. Details of each certification follow.

Hospice certification: CCN 131576

Legal name
ODYSSEY HEALTHCARE OPERATING B, LP
Doing business as
GENTIVA
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 30, 2016
Last certification
Dec 30, 2016
Ownership / control type
Proprietary - Partnership
Organization structure
OtherProprietary
Enrollment address
1321 N Northwood Center CT
Ste a
Coeur D Alene, ID 83814-4944

Other NPIs with the same Medicare PAC ID 12

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Gentiva HospiceCCN 131576 · All quality measures
Ownership
For-Profit
Certified
Dec 30, 2016
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
13D2155691Odyssey Healthcare Operating B LP1321 N Northwood Center CT Ste a, Coeur D'Alene, ID 83814Certificate of waiverOct 2, 2026

National Provider Directory

National Provider Directory
Tax ID family
Odyssey Healthcare Operating B LP13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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.

Locations (25 of 57)

2000B Southbridge Pkwy
#150
Birmingham, AL 35209
Phone (205) 870-4340

2000B Southbridge Pkwy
Ste 150
Birmingham, AL 35209
Phone (205) 870-4340

2000B Southbridge Pkwy
Ste 425
Birmingham, AL 35209
Phone (205) 870-4782

2745 Bob Wallace Ave SW
Ste C
Huntsville, AL 35805
Phone (256) 532-5199

1345 Carmichael Way
Montgomery, AL 36106
Phone (334) 213-1119

1407 Foulk Rd
Ste 200
Wilmington, DE 19803
Phone (302) 479-7500

1199 Prince Ave
Ste H
Athens, GA 30606
Phone (706) 552-1251

575 Research Dr
Ste A
Athens, GA 30605
Phone (706) 549-5736

2302 Parklake Dr NE
Ste 150
Atlanta, GA 30345
Phone (470) 395-6567

3508 Professional Cir
Ste A
Augusta, GA 30907
Phone (706) 210-5900

2362 Lawrenceville Hwy
Bldg 2
Decatur, GA 30033
Phone (404) 235-7600

1100 Sherwood Park Dr NE
Ste 120
Gainesville, GA 30501
Phone (770) 533-4422

500 Spring St SE
Ste 204
Gainesville, GA 30501
Phone (219) 756-7640

1000 Hurricane Shoals Rd NE
#D1200
Lawrenceville, GA 30043
Phone (678) 225-5014

5105 Paulsen St
Ste 225D
Savannah, GA 31405
Phone (912) 352-8200

1230 N Northwood Center Ct
Ste B
Coeur D Alene, ID 83814

1321 N Northwood Center Ct
Ste A
Coeur D Alene, ID 83814
Phone (208) 465-3452

1321 N Northwood Center Ct
Ste B
Coeur D Alene, ID 83814
Phone (208) 665-7055

13702 Coursey Blvd
Ste 7A
Baton Rouge, LA 70817
Phone (225) 753-1495

7905 Wrenwood Blvd
Baton Rouge, LA 70809

1639 Ryan St
#A
Lake Charles, LA 70601
Phone (337) 433-9449

2800 Veterans Memorial Blvd
Ste 180
Metairie, LA 70002
Phone (214) 922-9711

3636 S I 10 Service Rd W
Ste 301
Metairie, LA 70001
Phone (504) 830-7600

407 Meadowview Dr
Minden, LA 71055
Phone (318) 371-9979

39425 Garfield Rd
Ste 22
Clinton Township, MI 48038
Phone (586) 522-4748

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, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Kentucky Homecare Parent Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Ronald C Lazas Individual Corporate OfficerEvp, Corp Sec and General Counsel Apr 27, 2021
Curo Health Services Holdings, Inc Organization, Mooresville, NC Corporation, 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
Odyssey Healthcare Inc. Organization, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2016 100%
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 Aug 11, 2022 100%
Kentucky Homecare Holdings, Inc. Organization, Louisville, KY Corporation, 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 Jul 1, 2016 99%
Limited Partnership Interest Jul 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, Chain home office 5% Or Greater Indirect Ownership Interest Jul 11, 2018 100%
Odyssey Healthcare Holding Company Organization, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2016 100%
Odyssey Healthcare GP, LLC Organization, Atlanta, GA LLC, For-profit Limited Partnership Interest Jul 1, 2016 1%
Eric Allen Sohn Individual Contracted Managing EmployeeMD; Jan 16, 2017
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, Louisville, KY 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%
Michelle Cook Individual W-2 Managing EmployeeAd; Nov 22, 2024
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 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 6

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

FacilityTypeRoleSince
GentivaKansas City, MO, CCN 261534 Hospice 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2016
GentivaSavannah, GA, CCN 111615 Hospice 5% Or Greater Direct Ownership Interest (100%) Dec 15, 2004
GentivaFlint, MI, CCN 231524 Hospice 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2016
GentivaMiami, FL, CCN 101548 Hospice 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2009
GentivaLenexa, KS, CCN 171569 Hospice 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2016
GentivaOrlando, FL, CCN 101540 Hospice 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2016

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1225487648",
    "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": "1321 N NORTHWOOD CENTER CT STE A",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144944",
            "telephone_number": "208-765-3452",
            "fax_number": "208-765-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY HEALTHCARE OPERATING B, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentiva",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.