NPIMap

Organization Active NPI

Odyssey Healthcare of Flint, LLC

Doing business as Gentiva

  • Community Based Hospice Care Agency
  • Flint, MI
National Provider Identifier
1346247244
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ODYSSEY HEALTHCARE OF FLINT, LLC
Doing business as
Gentiva
Practice address
4458 Oakbridge Dr Ste D
Flint, MI 48532-9816
Phone
(810) 733-7250
Fax
(810) 732-4054
NPI assigned
Jul 7, 2005
Last updated
Jan 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 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) 662-1761

Specialties & licenses 1

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

Addresses

Primary practice location

4458 Oakbridge Dr Ste D
Flint, MI 48532-9816

Mailing address

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

Other practice location 1

6270 State Street
Saginaw, MI 48603
Phone (989) 899-7738

Other identifiers 1

IdentifierTypeStateIssuer
1226533MedicaidMI

Other names 1

  • Gentiva Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090127000503 MI Part A Provider - Hospice 1658435292 Practice locations: Flint, MI; Saginaw, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346247244. Details of each certification follow.

Hospice certification: CCN 231524

Legal name
ODYSSEY HEALTHCARE OF FLINT, LLC
Doing business as
GENTIVA
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 14, 1987
Last certification
Aug 17, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
4458 Oakbridge Dr
Ste D
Flint, MI 48532-9816

Care Compare: Hospice

Medicare Care Compare
Listed as
GentivaCCN 231524 · All quality measures
Ownership
For-Profit
Certified
Dec 14, 1987
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
23D2151004Odyssey Healthcare of Flint, LLC4458 Oakbridge Drive Suite D, Flint, MI 48532Certificate of waiverJul 9, 2028

National Provider Directory

National Provider Directory

Member of 3

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

Locations

4458 Oakbridge Dr
Ste D
Flint, MI 48532
Phone (810) 733-7250

6270 State St
Saginaw, MI 48603
Phone (989) 790-7533

Ownership & related parties

All disclosed owners & managing parties 26

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, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Kentucky Homecare Parent Inc. Organization, Louisville, KY Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Ronald C Lazas Individual Corporate OfficerSecretary, General Counsel and M Apr 27, 2021
Curo Health Services Holdings, Inc Organization, Mooresville, NC Corporation, For-profit, Owned by another organization or individual 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, Atlanta, GA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2009 100%
Thomas Joseph Dolan Individual Corporate OfficerChief Financial Officer Nov 30, 2021
Odyssey Healthcare Operating B, LP Organization, Atlanta, GA For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 1, 2016 100%
Charlotte Midco, LLC Organization, Atlanta, GA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 11, 2022 100%
Eron Sheroski Individual W-2 Managing EmployeeAd; Aug 12, 2024
Kentucky Homecare Holdings, Inc. Organization, Louisville, KY Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Odyssey Healthcare LP, LLC Organization, Atlanta, GA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2009 99%
Humana Inc Organization, Louisville, KY Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Falcon Hospice, LP Organization, Atlanta, GA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 11, 2022 100%
David Allen Causby Individual Corporate OfficerChief Executive Officer, Preside Apr 27, 2021
Charlotte Buyer, Inc. Organization, Mooresville, NC Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Curo Health Services LLC Organization, Mooresville, NC LLC, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Odyssey Healthcare Holding Company Organization, Atlanta, GA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2009 100%
Odyssey Healthcare GP, LLC Organization, Atlanta, GA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2016 1%
Janet L Combs Individual Corporate OfficerVP of Licensure Nov 1, 2021
CD&R Falcon Holdings, LP Organization, New York, NY For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 11, 2022 60%
Centerwell Health Services Inc Organization, Louisville, KY Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Kah Hospice Company, Inc Organization, Atlanta, GA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Rommel Aquino Individual Contracted Managing EmployeeMD; Aug 1, 2022
CH Services Group Holdings Inc Organization, Mooresville, NC Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
CH Services Holdings Inc Organization, Mooresville, NC Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%

Owners & managing parties with NPI records 49

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

View all 49

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": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1346247244",
    "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": "4458 OAKBRIDGE DR STE D",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485329816",
            "telephone_number": "810-733-7250",
            "fax_number": "810-732-4054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6270 State Street",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "48603",
            "country_code": "US",
            "telephone_number": "989-899-7738",
            "fax_number": "989-702-2216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ODYSSEY HEALTHCARE OF FLINT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "VP OF LICENSURE",
        "authorized_official_telephone_number": "704-662-1761",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1226533",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentiva",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.