NPIMap

Organization Active NPI

Odyssey Healthcare Operating B, LP

Doing business as Gentiva

  • Community Based Hospice Care Agency
  • North Chesterfield, VA
National Provider Identifier
1265433718
Registry record updated Jan 17, 2023
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
808 Moorefield Park Dr Ste 113
North Chesterfield, VA 23236-3673
Phone
(804) 290-4300
Fax
(804) 282-4535
NPI assigned
Aug 9, 2005
Last updated
Jan 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 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) 664-2876

Specialties & licenses 1

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

Addresses

Primary practice location

808 Moorefield Park Dr Ste 113
North Chesterfield, VA 23236-3673

Mailing address

655 Brawley School Rd Ste 200
Mooresville, NC 28117-9601
Phone (704) 664-2876

Other practice location 1

1602 Rolling Hills Drive
Suite 204
Henrico, VA 23229-5012
Phone (804) 290-4300

Other practice location 2

595 Old Wagner Rd Ste E
Petersburg, VA 23805-9307
Phone (804) 504-0031

Other identifiers 2

IdentifierTypeStateIssuer
1265433718MedicaidVA
010047871MedicaidVA

Other names 1

  • Gentiva Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030807000033 VA Part A Provider - Hospice 3779490511 Practice locations: Petersburg, VA; North Chesterfield, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265433718. Details of each certification follow.

Hospice certification: CCN 491568

Legal name
ODYSSEY HEALTHCARE OPERATING B, LP
Doing business as
GENTIVA
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 13, 2003
Last certification
Jan 18, 2018
Ownership / control type
Proprietary - Corporation
Organization structure
PartnershipProprietary
Enrollment address
808 Moorefield Park Dr
North Chesterfield, VA 23236-3683

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
GentivaCCN 491568 · All quality measures
Ownership
For-Profit
Certified
Nov 13, 2003
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
49D2079999Odyssey Healthcare Operating B, LP808 Moorefield Park Drive, Richmond, VA 23236Certificate of waiverJun 26, 2028

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 1

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

Locations

808 Moorefield Park Dr
Ste 113
North Chesterfield, VA 23236
Phone (804) 290-4300

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 OfficerExecutive VP & 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 and Controller Dec 31, 2021
Odyssey Healthcare Inc. Organization, Louisville, KY Holding company 5% Or Greater Indirect Ownership Interest Nov 13, 2003 100%
Thomas Joseph Dolan Individual Corporate OfficerChief Financial Officer Nov 30, 2021
Kimaada Bradley Individual W-2 Managing Employee Jan 28, 2020
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, Louisville, KY Holding company 5% Or Greater Direct Ownership Interest Nov 13, 2003 99%
Limited Partnership Interest Nov 13, 2003 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 13, 2003 100%
Odyssey Healthcare GP, LLC Organization, Louisville, KY Holding company 5% Or Greater Direct Ownership Interest Nov 13, 2003 1%
General Partnership Interest Nov 13, 2003 1%
Janet L Combs Individual Corporate OfficerVP Licensure, Authorized Official 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 35

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

View all 35

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

Affiliated clinicians 4

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": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1265433718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 BRAWLEY SCHOOL RD STE 200",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179601",
            "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": "808 MOOREFIELD PARK DR STE 113",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363673",
            "telephone_number": "804-290-4300",
            "fax_number": "804-282-4535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1602 Rolling Hills Drive",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Henrico",
            "state": "VA",
            "postal_code": "232295012",
            "country_code": "US",
            "telephone_number": "804-290-4300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "595 Old Wagner Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Petersburg",
            "state": "VA",
            "postal_code": "238059307",
            "country_code": "US",
            "telephone_number": "804-504-0031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ODYSSEY HEALTHCARE OPERATING B, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "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",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265433718",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010047871",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentiva",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.