NPIMap

Organization Active NPI

Odyssey Healthcare Operating B LP

Doing business as Gentiva

  • Community Based Hospice Care Agency
  • Virginia Beach, VA
National Provider Identifier
1346241981
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
5544 Greenwich Rd Ste 302
Virginia Beach, VA 23462-6563
Phone
(757) 461-0600
Fax
(757) 461-0610
NPI assigned
Aug 4, 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

5544 Greenwich Rd Ste 302
Virginia Beach, VA 23462-6563

Mailing address

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

Other practice location 1

203 Bulifants Blvd Ste B
Williamsburg, VA 23188-5742
Phone (757) 259-2481

Other identifiers 1

IdentifierTypeStateIssuer
1346241981MedicaidVA

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
O20050920000762 VA Part A Provider - Hospice 3779490511 Practice locations: Virginia Beach, VA; Williamsburg, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346241981. Details of each certification follow.

Hospice certification: CCN 491562

Legal name
ODYSSEY HEALTHCARE OPERATING B, LP
Doing business as
GENTIVA
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 21, 2002
Last certification
Jul 14, 2017
Ownership / control type
Proprietary - Partnership
Organization structure
PartnershipProprietary
Enrollment address
5544 Greenwich Rd
Ste 302
Virginia Beach, VA 23462-6563

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 491562 · All quality measures
Ownership
For-Profit
Certified
Feb 21, 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
49D2112869Odyssey Healthcare Operating B,5544 Greenwich Road Ste 302, Virginia Beach, VA 23462Certificate of waiverMay 9, 2028

National Provider Directory

National Provider Directory
Tax ID family
Odyssey Healthcare13 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

5544 Greenwich Rd
Ste 202
Virginia Beach, VA 23462

5544 Greenwich Rd
Ste 302
Virginia Beach, VA 23462
Phone (757) 461-0600

203 Bulifants Blvd
Ste B
Williamsburg, VA 23188
Phone (757) 259-2481

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%
Christie Ellen Cippolini Individual W-2 Managing EmployeeAd; Jul 15, 2024
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
W-2 Managing EmployeeHome Office Administrator Dec 31, 2021
Odyssey Healthcare Inc. Organization, Louisville, KY For-profit 5% Or Greater Indirect Ownership Interest Feb 21, 2002 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, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Odyssey Healthcare LP, LLC Organization, Louisville, KY For-profit 5% Or Greater Direct Ownership Interest Feb 21, 2002 99%
Limited Partnership Interest Feb 21, 2002 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 For-profit 5% Or Greater Indirect Ownership Interest Feb 21, 2002 100%
Odyssey Healthcare GP, LLC Organization, Louisville, KY For-profit 5% Or Greater Direct Ownership Interest Feb 21, 2002 1%
General Partnership Interest Feb 21, 2002 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%
Nabil T. M. Tadros Individual Contracted Managing EmployeeMD; Dec 18, 2020
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

Affiliated clinicians 2

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": "1123113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1346241981",
    "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": "5544 GREENWICH RD STE 302",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626563",
            "telephone_number": "757-461-0600",
            "fax_number": "757-461-0610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 Bulifants Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231885742",
            "country_code": "US",
            "telephone_number": "757-259-2481",
            "fax_number": "757-259-2482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ODYSSEY HEALTHCARE OPERATING B LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-04",
        "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": "1346241981",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentiva",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.