Odyssey Healthcare Operating a, LP
Organization Active NPI Community Based Hospice Care Agency · Fremont, OH
NPI 1598465320 · NPPES record last updated Mar 9, 2023
Key facts
- NPI
- 1598465320
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- ODYSSEY HEALTHCARE OPERATING A, LP
- Practice address
- 907 W State St Ste a
Fremont, OH 43420-2548 - Phone
- (419) 355-9209
- NPI assigned
- Mar 9, 2023
- Organization subpart
- No
Authorized official
- Name
- Janet Combs
- Title
- VP of Licensure
- Phone
- (704) 664-2876
Owners & managing parties with NPI records 35
Corporate family (same tax ID) 40
Member of 2
Change of ownership 1
Facilities with the same owner 196
Affiliated clinicians 7
-
John Joseph Hiestand, M.D.
-
Ravi Narra, MD
-
John Leonard Yuhas, D.O.
Medicare Care Compare: Hospice
- Listed as
- Heartland Hospice
- Ownership
- For-Profit
- Certified
- Oct 1, 1996
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0881635 | Odyssey Healthcare Operating a, LP | Certificate of waiver | Jan 12, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Hospice certification: CCN 361595
- Legal name
- ODYSSEY HEALTHCARE OPERATING A LP
- Doing business as
- HEARTLAND HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Oct 1, 1996
- Last certification
- Dec 3, 2015
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Partnership · Proprietary
- Enrollment address
- 907 W State St
Ste a
Fremont, OH 43420-2548
All disclosed owners & managing parties 24
| Name | Role | Since | Share |
|---|---|---|---|
| Ann Wright |
W-2 Managing Employee |
Feb 23, 2012 | |
| CH Services Midco Holdings Inc |
5% Or Greater Indirect Ownership Interest | Feb 5, 2015 | 100% |
| Kentucky Homecare Parent Inc. |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 40% |
| Ronald C Lazas |
Corporate Officer |
Apr 27, 2021 | |
| Curo Health Services Holdings, Inc |
5% Or Greater Indirect Ownership Interest | Jun 6, 2014 | 100% |
| David Robinson Arnold |
Corporate Officer |
Dec 31, 2021 | |
| Operational/Managerial Control |
Dec 31, 2021 | ||
| Odyssey Healthcare Inc. |
5% Or Greater Indirect Ownership Interest | Jul 1, 2001 | 100% |
| Thomas Joseph Dolan |
Corporate Officer |
Nov 30, 2021 | |
| Charlotte Midco, LLC |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 100% |
| Kentucky Homecare Holdings, Inc. |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 40% |
| Odyssey Healthcare LP, LLC |
5% Or Greater Direct Ownership Interest | Jul 1, 2001 | 99% |
| Limited Partnership Interest | Jul 1, 2001 | 99% | |
| Humana Inc |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 40% |
| Falcon Hospice, LP |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 100% |
| David Allen Causby |
Corporate Officer |
Apr 27, 2021 | |
| Charlotte Buyer, Inc. |
5% Or Greater Indirect Ownership Interest | Jul 11, 2018 | 100% |
| Curo Health Services LLC |
5% Or Greater Indirect Ownership Interest | Jul 11, 2018 | 100% |
| Odyssey Healthcare Holding Company |
5% Or Greater Indirect Ownership Interest | Jul 1, 2001 | 100% |
| Odyssey Healthcare GP, LLC |
General Partnership Interest | Jul 1, 2001 | 1% |
| Janet L Combs |
Corporate Officer |
Nov 1, 2021 | |
| CD&R Falcon Holdings, LP |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 60% |
| Centerwell Health Services Inc |
5% Or Greater Indirect Ownership Interest | Dec 22, 2022 | 40% |
| Kah Hospice Company, Inc |
5% Or Greater Indirect Ownership Interest | Mar 1, 2022 | 100% |
| CH Services Group Holdings Inc |
5% Or Greater Indirect Ownership Interest | Feb 5, 2015 | 100% |
| CH Services Holdings Inc |
5% Or Greater Indirect Ownership Interest | Jun 6, 2014 | 100% |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Gentiva |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2016 |
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Nov 1, 2023 | Change of Ownership |
Promedica Hospice (Fremont) |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231107002630 | OH | Part a Provider - Hospice | 4385551035 | Practice locations: Fremont, OH; Whitehouse, OH |
National Provider Directory
- Tax ID family
- Odyssey Healthcare Operating a LP
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
Addresses
Primary practice location
907 W State St Ste a
Fremont, OH 43420-2548
Mailing address
PO Box 4060
Mooresville, NC 28117-4060
Phone (704) 664-2876
Other names
- Heartland
NPI Registry JSON
{
"created_epoch": "1678320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678320000000",
"number": "1598465320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4060",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281174060",
"telephone_number": "704-664-2876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 W STATE ST STE A",
"city": "FREMONT",
"state": "OH",
"postal_code": "434202548",
"telephone_number": "419-355-9209"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ODYSSEY HEALTHCARE OPERATING A, LP",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-09",
"last_updated": "2023-03-09",
"certification_date": "2023-03-09",
"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"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Heartland",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.