NPIMap

Organization Active NPI

Odyssey Healthcare Holding Company

Doing business as Heartland

  • Community Based Hospice Care Agency
  • Stevens Point, WI
National Provider Identifier
1265132963
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ODYSSEY HEALTHCARE HOLDING COMPANY
Doing business as
Heartland
Practice address
3233A Business Park Dr FL 2
Stevens Point, WI 54482-8855
Phone
(715) 344-4541
NPI assigned
Mar 9, 2023
Last updated
Mar 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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 Primary

Addresses

Primary practice location

3233A Business Park Dr FL 2
Stevens Point, WI 54482-8855

Mailing address

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

Other names 1

  • Heartland Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231201000173 WI Part A Provider - Hospice 6002723004 Practice locations: Stevens Point, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265132963. Details of each certification follow.

Hospice certification: CCN 521617

Legal name
ODYSSEY HEALTHCARE HOLDING COMPANY
Doing business as
HEARTLAND HOSPICE (CENTRAL WI)
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 9, 2023
Last certification
Mar 1, 2023
Organization structure
CorporationProprietary
Incorporated
Nov 17, 2000 in DE
Enrollment address
3233A Business Park Dr
Ste 203
Stevens Point, WI 54482-8861

Other NPIs with the same Medicare PAC ID 16

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

View all 16

Care Compare: Hospice

Medicare Care Compare
Listed as
Heartland Hospice Central WisconsinCCN 521617 · All quality measures
Certified
Mar 9, 2023
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
52D2099515Odyssey Healthcare Holding Company3233A Business Park Drive, Ste 203, Stevens Point, WI 54482Certificate of waiverJul 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Heartland Hospice Woodbury19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Member of 1

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

Ownership & related parties

All disclosed owners & managing parties 21

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 Feb 5, 2015 100%
Kentucky Homecare Parent Inc. Organization, Atlanta, GA Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Ronald C Lazas Individual Corporate OfficerEvp, Secretary & General Counsel Apr 27, 2021
Corporate DirectorBoard Member Apr 27, 2021
Curo Health Services Holdings, Inc Organization, Mooresville, NC Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 6, 2014 100%
Kristy Davis Individual W-2 Managing EmployeeAdministrator Aug 17, 2020
David Robinson Arnold Individual Corporate OfficerVP, Treasurer & Controller Dec 31, 2021
Operational/Managerial ControlChain Home Office Administrator Dec 31, 2021
Odyssey Healthcare Inc. Organization, Atlanta, GA Corporation, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2001 100%
Thomas Joseph Dolan Individual Corporate OfficerChief Financial Officer Nov 30, 2021
Charlotte Midco, LLC Organization, Atlanta, GA LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 100%
Kentucky Homecare Holdings, Inc. Organization, Atlanta, GA Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Humana Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Falcon Hospice, LP Organization, Atlanta, GA Holding company, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 100%
David Allen Causby Individual Corporate OfficerPresident & Ceo Apr 27, 2021
Corporate DirectorBoard Member Apr 27, 2021
Charlotte Buyer, Inc. Organization, Mooresville, NC Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 11, 2018 100%
Curo Health Services LLC Organization, Mooresville, NC LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 11, 2018 100%
Janet L Combs Individual Corporate OfficerVP of Licensure Nov 1, 2021
CD&R Falcon Holdings, LP Organization, New York, NY Holding company, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 60%
Centerwell Health Services Inc Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 22, 2022 40%
Kah Hospice Company, Inc Organization, Atlanta, GA Corporation, Holding company, 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 Feb 5, 2015 100%
CH Services Holdings Inc Organization, Mooresville, NC Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 6, 2014 100%

Owners & managing parties with NPI records 18

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

View all 18

All facility ownership & control disclosures 70

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

FacilityTypeRoleSince
Gentiva IOmaha, NE, CCN 281528A Hospice 5% Or Greater Indirect Ownership Interest (100%) Sep 1, 2002
GentivaPiscataway, NJ, CCN 311545 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jul 1, 2001
Gentiva ISouthfield, MI, CCN 231564 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jul 1, 2001
GentivaNorth Chesterfield, VA, CCN 491568 Hospice 5% Or Greater Indirect Ownership Interest (100%) Nov 13, 2003
GentivaMobile, AL, CCN 011605 Hospice 5% Or Greater Indirect Ownership Interest (100%) Aug 28, 2003
Gentiva IGreenwood, IN, CCN 151586 Hospice 5% Or Greater Indirect Ownership Interest (100%) Mar 6, 2008
GentivaTemple, TX, CCN 451542 Hospice 5% Or Greater Indirect Ownership Interest (100%) Mar 6, 2008
GentivaReno, NV, CCN 291507 Hospice 5% Or Greater Indirect Ownership Interest (100%) Mar 6, 2008
GentivaColumbus, GA, CCN 111560 Hospice 5% Or Greater Indirect Ownership Interest (100%) Mar 6, 2008
GentivaWarner Robins, GA, CCN 111559 Hospice 5% Or Greater Indirect Ownership Interest (100%) Mar 6, 2008
GentivaLubbock, TX, CCN 451520 Hospice 5% Or Greater Indirect Ownership Interest (100%) Mar 6, 2008
GentivaDallas, TX, CCN 451527 Hospice 5% Or Greater Indirect Ownership Interest (100%) Mar 6, 2008
GentivaHobbs, NM, CCN 321513 Hospice 5% Or Greater Indirect Ownership Interest (100%) Mar 6, 2008
GentivaWarwick, RI, CCN 411511 Hospice 5% Or Greater Indirect Ownership Interest (100%) Sep 25, 2003
GentivaPalm Desert, CA, CCN 051716 Hospice 5% Or Greater Indirect Ownership Interest (100%) Sep 1, 2001
GentivaPittsburgh, PA, CCN 391612 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jul 1, 2001
GentivaSan Angelo, TX, CCN 451697 Hospice 5% Or Greater Indirect Ownership Interest (100%) Mar 6, 2008
GentivaSan Diego, CA, CCN 051717 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jul 1, 2001
GentivaBakersfield, CA, CCN 051740 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jun 1, 2002
GentivaSan Antonio, TX, CCN 451563 Hospice 5% Or Greater Indirect Ownership Interest (100%) Mar 6, 2008
GentivaAuburn, AL, CCN 011602 Hospice 5% Or Greater Indirect Ownership Interest (100%) Mar 6, 2008
GentivaAlpharetta, GA, CCN 111544 Hospice 5% Or Greater Indirect Ownership Interest (100%) Mar 6, 2008
GentivaSan Marcos, TX, CCN 451640 Hospice 5% Or Greater Indirect Ownership Interest (100%) Mar 6, 2008
GentivaAlbuquerque, NM, CCN 321520 Hospice 5% Or Greater Indirect Ownership Interest (100%) Mar 6, 2008
GentivaCamp Hill, PA, CCN 391671 Hospice 5% Or Greater Indirect Ownership Interest (100%) Sep 2, 2005
Gentiva IJeffersonville, IN, CCN 151557 Hospice 5% Or Greater Indirect Ownership Interest (100%) Mar 6, 2008
GentivaAustin, TX, CCN 451715 Hospice 5% Or Greater Indirect Ownership Interest (100%) Apr 9, 2002
GentivaGreenville, SC, CCN 421534 Hospice 5% Or Greater Indirect Ownership Interest (100%) Mar 6, 2008
Gentiva IColumbus, OH, CCN 361573 Hospice 5% Or Greater Indirect Ownership Interest (100%) Mar 6, 2008
Gentiva IINashville, TN, CCN 441553 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jul 1, 2001
GentivaLittle Rock, AR, CCN 041561 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jul 1, 2001
Gentiva IEvansville, IN, CCN 151558 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 28, 2008
Gentiva IBlue Bell, PA, CCN 391622 Hospice 5% Or Greater Indirect Ownership Interest (100%) Mar 6, 2008
GentivaEl Paso, TX, CCN 451705 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jul 1, 2001
Gentiva IArlington Heights, IL, CCN 141608 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2016
GentivaVirginia Beach, VA, CCN 491562 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 21, 2002
GentivaAthens, GA, CCN 111612 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jun 21, 2004
GentivaFlowood, MS, CCN 251590 Hospice 5% Or Greater Indirect Ownership Interest (100%) Sep 16, 2004
Gentiva ITerre Haute, IN, CCN 151592 Hospice 5% Or Greater Indirect Ownership Interest (100%) Mar 6, 2008
GentivaHattiesburg, MS, CCN 251536 Hospice 5% Or Greater Indirect Ownership Interest (100%) Aug 1, 2002
GentivaSan Antonio, TX, CCN 451682 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jul 1, 2001
GentivaBeaumont, TX, CCN 451638 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2016
GentivaKansas City, MO, CCN 261534 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2016
GentivaSavannah, GA, CCN 111615 Hospice 5% Or Greater Indirect Ownership Interest (100%) Dec 15, 2004
GentivaHarlingen, TX, CCN 451667 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2016
GentivaFlint, MI, CCN 231524 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2009
GentivaMiami, FL, CCN 101548 Hospice 5% Or Greater Indirect Ownership Interest (100%) Nov 1, 2009
Gentiva IOak Brook, IL, CCN 141610 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2016
GentivaLenexa, KS, CCN 171569 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2016
Gentiva IGrand Rapids, MI, CCN 231627 Hospice 5% Or Greater Indirect Ownership Interest (100%) Aug 4, 2011
Gentiva IIIIndianapolis, IN, CCN 151594 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jul 22, 2012
GentivaLiberty Lake, WA, CCN 501534 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2016
GentivaTukwila, WA, CCN 501541 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2016
Gentiva IIIRochester, IN, CCN 151562 Hospice 5% Or Greater Indirect Ownership Interest (100%) May 1, 2013
GentivaOrlando, FL, CCN 101540 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2016
GentivaCoeur D Alene, ID, CCN 131576 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jul 1, 2016
GentivaForrest City, AR, CCN 041510 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2016
GentivaRussellville, AR, CCN 041528 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2016
GentivaBatesville, AR, CCN 041539 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2016
GentivaHot Springs, AR, CCN 041537 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2016
GentivaTexarkana, AR, CCN 041532 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2016
GentivaEl Dorado, AR, CCN 041531 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2016
GentivaBrownwood, TX, CCN 451707 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jul 1, 2001
Heartland HospiceFremont, OH, CCN 361595 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jul 1, 2001
Heartland HospiceIndependence, OH, CCN 361584 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jul 1, 2001
Heartland HospiceKettering, OH, CCN 361589 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jul 1, 2001
Heartland Hospice (Cincinnati)Cincinnati, OH, CCN 361560 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jul 1, 2001
Heartland HospiceColumbus, OH, CCN 361620 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jul 1, 2001
Heartland Hospice (Portsmouth) and Heartland Hospice (Jackson)Lucasville, OH, CCN 361610 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jul 1, 2001
Heartland Hospice (Sylvania)Maumee, OH, CCN 361582 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jul 1, 2001

Owned or controlled facilities with NPI records 70

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

View all 70

Facilities with the same owner 196

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

View all 196

Change-of-ownership history 1

DateEventCounterparty
Nov 1, 2023 Change of OwnershipThis provider was the buyer Promedica Hospice (Central Wisconsin)CCN 521617, WI, NPI 1265141659

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 3

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.

Affiliated clinicians 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1265132963",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233A BUSINESS PARK DR FL 2",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544828855",
            "telephone_number": "715-344-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY HEALTHCARE HOLDING COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stevens Point, WI

Sources for this page

Verify at the official NPI Registry.