Odyssey Primary Homecare, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

013402 Issued in TX

Legal business name

ODYSSEY PRIMARY HOMECARE, INC.

Practice address

3224 South Sugar Rd. Suite L
Edinburg, TX 78539

Phone

(956) 287-2600

Fax

(956) 685-1374

NPI assigned

Jun 12, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dalia Molina

Title

Administrator

Phone

(956) 287-2600

Specialties & licenses 7

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 747593

Legal name

ODYSSEY PRIMARY HOMECARE, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 22, 2011

Last certification

Oct 15, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jun 10, 2008 in TX

Enrollment address

3224 South Sugar Rd
Ste L
Edinburg, TX 78539

Listed as

Odyssey Primary Homecare IncCCN 747593

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Jun 22, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Physical therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Eduardo Candanosa, M.D

  • Family Medicine Physician
  • McAllen, TX
  • NPI 1144512484

  Home health agency

  Care Compare affiliation
• Jose Fernado Pena, M.D.

  • Internal Medicine Physician
  • Donna, TX
  • NPI 1205875721

  Home health agency

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1508026683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3224 SOUTH SUGAR ROAD SUITE L",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78539",
            "telephone_number": "956-287-2600",
            "fax_number": "956-685-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 SOUTH SUGAR RD. SUITE L",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78539",
            "telephone_number": "956-287-2600",
            "fax_number": "956-685-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY PRIMARY HOMECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "DALIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-287-2600"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "013402",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "TX",
            "license": "013402",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "360880401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "360880402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Elena Ochoa, LPC-A
• Cid Carlo Oculam, MD
• Maria Natasha Odendaal, OTR
• Ibrahim Odewale, MD
• Uchechukwu Obioma Odunze, PA
• Chioma Ohabor, CRNA
• Constantine I Ohabor, MD
• Edgardo Enrique Ojeda Arce, M.D.
• Brittany Ojeda-Martinez, APRN
• Vanessa Nkechinyere Okechuku, MD

• All providers in Edinburg, TX
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.