Odyssey Healthcare Operating B LP
Organization Active NPI Community Based Hospice Care Agency · Virginia Beach, VA
NPI 1346241981 · NPPES record last updated Jan 17, 2023
Key facts
- NPI
- 1346241981
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- ODYSSEY HEALTHCARE OPERATING B LP
- 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
- Organization subpart
- No
Authorized official
- Name
- Ms. Janet Combs
- Title
- VP of Licensure
- Phone
- (704) 664-2876
Owners & managing parties with NPI records 36
-
Nabil Tadros, MD
Owned or controlled facilities with NPI records 6
Other NPIs with the same Medicare PAC ID 12
Corporate family (same tax ID) 12
Member of 1
Facilities with the same owner 196
Affiliated clinicians 2
-
Pranav H. Parikh, M.D.
-
Nabil Tadros, MD
Medicare Care Compare: Hospice
- Listed as
- Gentiva
- Ownership
- For-Profit
- Certified
- Feb 21, 2002
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2112869 | Odyssey Healthcare Operating B, | Certificate of waiver | May 9, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
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
- Partnership · Proprietary
- Enrollment address
- 5544 Greenwich Rd
Ste 302
Virginia Beach, VA 23462-6563
All disclosed owners & managing parties 25
| Name | Role | Since | Share |
|---|---|---|---|
| CH Services Midco Holdings Inc |
5% Or Greater Indirect Ownership Interest | Mar 1, 2022 | 100% |
| Christie Ellen Cippolini |
W-2 Managing Employee |
Jul 15, 2024 | |
| Kentucky Homecare Parent Inc. |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 40% |
| Ronald C Lazas |
Corporate Officer |
Apr 27, 2021 | |
| Curo Health Services Holdings, Inc |
5% Or Greater Indirect Ownership Interest | Mar 1, 2022 | 100% |
| David Robinson Arnold |
Corporate Officer |
Dec 31, 2021 | |
| W-2 Managing Employee |
Dec 31, 2021 | ||
| Odyssey Healthcare Inc. |
5% Or Greater Indirect Ownership Interest | Feb 21, 2002 | 100% |
| Thomas Joseph Dolan |
Corporate Officer |
Nov 30, 2021 | |
| Charlotte Midco, LLC |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 100% |
| Kentucky Homecare Holdings, Inc. |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 40% |
| Odyssey Healthcare LP, LLC |
5% Or Greater Direct Ownership Interest | Feb 21, 2002 | 99% |
| Limited Partnership Interest | Feb 21, 2002 | 99% | |
| Humana Inc |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 40% |
| Falcon Hospice, LP |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 100% |
| David Allen Causby |
Corporate Officer |
Apr 27, 2021 | |
| Charlotte Buyer, Inc. |
5% Or Greater Indirect Ownership Interest | Mar 1, 2022 | 100% |
| Curo Health Services LLC |
Operational/Managerial Control | Jul 11, 2018 | |
| Odyssey Healthcare Holding Company |
5% Or Greater Indirect Ownership Interest | Feb 21, 2002 | 100% |
| Odyssey Healthcare GP, LLC |
5% Or Greater Direct Ownership Interest | Feb 21, 2002 | 1% |
| General Partnership Interest | Feb 21, 2002 | 1% | |
| Janet L Combs |
Corporate Officer |
Nov 1, 2021 | |
| CD&R Falcon Holdings, LP |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 60% |
| Centerwell Health Services Inc |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 40% |
| Kah Hospice Company, Inc |
5% Or Greater Indirect Ownership Interest | Mar 1, 2022 | 100% |
| Nabil T. M. Tadros |
Contracted Managing Employee |
Dec 18, 2020 | |
| CH Services Group Holdings Inc |
5% Or Greater Indirect Ownership Interest | Mar 1, 2022 | 100% |
| CH Services Holdings Inc |
5% Or Greater Indirect Ownership Interest | Mar 1, 2022 | 100% |
All facility ownership & control disclosures 6
| Facility | Type | Role | Since |
|---|---|---|---|
| Gentiva |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2016 |
| Gentiva |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Dec 15, 2004 |
| Gentiva |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2016 |
| Gentiva |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2009 |
| Gentiva |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2016 |
| Gentiva |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050920000762 | VA | Part a Provider - Hospice | 3779490511 | Practice locations: Virginia Beach, VA; Williamsburg, VA |
National Provider Directory
- Tax ID family
- Odyssey Healthcare Opr B LP
Locations
5544 Greenwich Rd
Ste 202
Virginia Beach, VA 23462
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346241981 | Medicaid | VA |
Other names
- Gentiva
Other providers in Virginia Beach, VA
- Robert Scott Odewald
- Brooke Odland
- Katelyn Odom
- John Henry Odonald
- Olubukunola A Oduyelu
- Alyssa L Oehler
- Christine Lynn Ogden
- Thomas William Ogden
- James William Oglesby
- Emmanuel C Oguike
All providers in Virginia Beach, VA · Community Based Hospice Care Agency in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.