NPIMap

Organization Active NPI

Odyssey Healthcare Operating a, LP

Doing business as Kindred Hospice

  • Community Based Hospice Care Agency
  • Apple Valley, CA
National Provider Identifier
1235705575
Registry record updated Jan 20, 2022
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
Kindred Hospice
Practice address
16070 Tuscola Rd Ste 204
Apple Valley, CA 92307-1691
Phone
(760) 241-7044
NPI assigned
May 27, 2021
Last updated
Jan 20, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
ODYSSEY HEALTHCARE OPERATING A, LPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Janet Combs
Title
VP Licensure
Phone
(913) 814-2013

Specialties & licenses 1

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

Addresses

Primary practice location

16070 Tuscola Rd Ste 204
Apple Valley, CA 92307-1691

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
HPC01593HMedicaidCA

Other names 1

  • Kindred Hospice Doing business as

National Provider Directory

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

Other organizations with this tax ID 40

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

View all 40

Locations

17290 Jasmine St
Ste 104
Victorville, CA 92395
Phone (760) 241-7044

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1235705575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4060",
            "address_2": "ATTN: REGULATORY",
            "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": "16070 TUSCOLA RD STE 204",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071691",
            "telephone_number": "760-241-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY HEALTHCARE OPERATING A, LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ODYSSEY HEALTHCARE OPERATING A, LP",
        "enumeration_date": "2021-05-27",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "VP LICENSURE",
        "authorized_official_telephone_number": "913-814-2013"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01593H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.