Odyssey Healthcare Operating B LP

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ODYSSEY HEALTHCARE OPERATING B LP

Doing business as

Gentiva

Practice address

10150 W National Ave Ste 140
West Allis, WI 53227-2145

Phone

(414) 546-3200

NPI assigned

Aug 4, 2005

Last updated

Jan 17, 2023By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Gentiva Doing business as

Member of 1

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

• Odyssey Healthcare Holding Company

  dba Heartland

  • Community Based Hospice Care Agency
  • Madison, WI
  • NPI 1710687405

  Member Of

  NPD member

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": "1538160163",
    "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": "10150 W NATIONAL AVE STE 140",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272145",
            "telephone_number": "414-546-3200"
        }
    ],
    "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": "704-664-2876",
        "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": "43189400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentiva",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monica M O'Sullivan, MD
• Diane Oakland, IBCLC, RLC
• John Adam Obudzinski, D.O.
• Juana Ochoa
• Laura Ann Ochtrup, M.S.W.
• Susan Kaye Ognacevic, RPH
• Chineze Oguonu, APNP
• Ohana Behavioral Services, LLC
• Oklahoma Pharmacy Inc (Riverbend Serv-U Pharmacy)
• Eno Okon

• Community Based Hospice Care Agency in West Allis, WI
• Providers in West Allis, WI by specialty
• Community Based Hospice Care Agency in Wisconsin

• 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.

Verify at the official NPI Registry.