Active NPI
Odyssey Healthcare Operating B, LP
Doing business as Gentiva
- Community Based Hospice Care Agency
- Atlanta, GA
National Provider Identifier
1467453092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- ODYSSEY HEALTHCARE OPERATING B, LP
- Doing business as
- Gentiva
- Practice address
- 2302 Parklake Dr NE Ste 150
Atlanta, GA 30345-2918 - Phone
- (678) 937-1800
- Fax
- (678) 937-1901
- NPI assigned
- Aug 4, 2005
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
2302 Parklake Dr NE Ste 150
Atlanta, GA 30345-2918
Mailing address
655 Brawley School Rd Ste 200
Mooresville, NC 28117-9601
Phone (704) 664-2876
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00769216A | Medicaid | GA |
Other names 1
- Gentiva
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Heartland
- Community Based Hospice Care Agency
- Laurel Springs, NJ
- NPI 1992405674
Member Of
Locations
575 Research Dr
Ste A
Athens, GA 30605
Phone (706) 549-5736
2302 Parklake Dr NE
Ste 150
Atlanta, GA 30345
Phone (470) 395-6567
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": "1467453092",
"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": "2302 PARKLAKE DR NE STE 150",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303452918",
"telephone_number": "678-937-1800",
"fax_number": "678-937-1901"
}
],
"practiceLocations": [],
"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": "704-662-1761",
"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": "00769216A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gentiva",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.