NPIMap

Organization Active NPI

Odyssey Healthcare Operating B LP

  • Community Based Hospice Care Agency
  • Piscataway, NJ
National Provider Identifier
1497756993
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
Practice address
242 Old New Brunswick Road
Suite 140
Piscataway, NJ 08854-3754
Phone
(732) 562-8800
NPI assigned
Aug 9, 2005
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

242 Old New Brunswick Road
Suite 140
Piscataway, NJ 08854-3754

Mailing address

655 Brawley School Rd Ste 200
Mooresville, NC 28117-9601
Phone (704) 664-2876

Other identifiers 1

IdentifierTypeStateIssuer
8960208MedicaidNJ

Other names 1

  • Gentiva Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030703000006 NJ Part A Provider - Hospice 3779490511 Practice locations: Piscataway, NJ

Hospice certification: CCN 311545

Legal name
ODYSSEY HEALTHCARE OPERATING B, LP
Doing business as
GENTIVA
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 19, 1997
Last certification
Jun 17, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
OtherProprietary
Enrollment address
242 Old New Brunswick Rd
Ste 140
Piscataway, NJ 08854-3999

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 311545
Ownership
For-Profit
Certified
Mar 19, 1997
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
31D2157525Odyssey Healthcare Operating B, LP242 Old New Brunswick Rd, Piscataway, NJ 08854Certificate of waiverNov 6, 2026

National Provider Directory

National Provider Directory
Tax ID family
Odyssey Healthcare Opr B LP13 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.

Ownership & related parties

All disclosed owners & managing parties 24

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%
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 OfficerGen Counsel and Corporate Secretary 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 Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2001 100%
Thomas Joseph Dolan Individual Corporate OfficerCfo Nov 30, 2021
Karen Kennedy Individual W-2 Managing EmployeeAdministrator Nov 21, 2021
Charlotte Midco, LLC Organization, Atlanta, GA LLC 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 LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2011 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 5% Or Greater Indirect Ownership Interest Aug 11, 2022 100%
David Allen Causby Individual Corporate OfficerCeo and 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 Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2001 100%
Odyssey Healthcare GP, LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2001 1%
Janet L Combs Individual Corporate OfficerVP, Licensure Nov 1, 2021
CD&R Falcon Holdings, LP Organization, New York, NY 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%
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 35

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

View all 35

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 10

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": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1497756993",
    "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": "242 OLD NEW BRUNSWICK ROAD",
            "address_2": "SUITE 140",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088543754",
            "telephone_number": "732-562-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY HEALTHCARE OPERATING B LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "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": "8960208",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentiva",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Piscataway, NJ

Sources for this page

Verify at the official NPI Registry.