Active NPI
Odyssey Healthcare Operating a LP
- Community Based Hospice Care Agency
- Salem, OR
National Provider Identifier
1467620609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- ODYSSEY HEALTHCARE OPERATING A LP
- Practice address
- 698 12TH St SE Ste 230
Salem, OR 97301-4010 - Phone
- (503) 315-1003
- NPI assigned
- Feb 11, 2008
- 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) 664-2876
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
698 12TH St SE Ste 230
Salem, OR 97301-4010
Mailing address
P O Box 4060
Attn: Regulatory
Mooresville, NC 28117-4060
Phone (704) 664-2876
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500618086 | Medicaid | OR |
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.
-
- Community Based Hospice Care Agency
- Laurel Springs, NJ
- NPI 1992405674
Member Of
Locations
4500 Kruse Way
Ste 100
Lake Oswego, OR 97035
Phone (503) 475-5750
698 12th St SE
Ste 230
Salem, OR 97301
Phone (503) 315-1003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673913600000",
"number": "1467620609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 4060",
"address_2": "ATTN: REGULATORY",
"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": "698 12TH ST SE STE 230",
"city": "SALEM",
"state": "OR",
"postal_code": "973014010",
"telephone_number": "503-315-1003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ODYSSEY HEALTHCARE OPERATING A LP",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-11",
"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": "500618086",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gentiva",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Salem, OR
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.