Active NPI
Odyssey Healthcare Operating B LP
- Community Based Hospice Care Agency
- Huntsville, AL
National Provider Identifier
1598747362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 11277
- Legal business name
- ODYSSEY HEALTHCARE OPERATING B LP
- Practice address
- 2745 Bob Wallace Ave SW
Suite C
Huntsville, AL 35805-4158 - Phone
- (256) 532-5199
- Fax
- (256) 532-0293
- NPI assigned
- Nov 17, 2005
- Reactivated
- Jul 17, 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
- Mr. Rodney Dirk Allison
- Title
- Sr VP & Cfo
- Phone
- (214) 922-9711
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 11277 | AL | Primary |
Addresses
Primary practice location
2745 Bob Wallace Ave SW
Suite C
Huntsville, AL 35805-4158
Mailing address
717 N Harwood St
Suite 1500
Dallas, TX 75201-6519
Phone (214) 922-9711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PIC1611E | Medicaid | AL |
Other names 1
- Odyssey HealthCare of Huntsville
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Community Based Hospice Care Agency
- Mobile, AL
- NPI 1184625717
Member Of
-
- Community Based Hospice Care Agency
- Laurel Springs, NJ
- NPI 1992405674
Member Of
Locations
2745 Bob Wallace Ave SW
Ste C
Huntsville, AL 35805
Phone (256) 532-5199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216252800000",
"number": "1598747362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 N HARWOOD ST",
"address_2": "SUITE 1500",
"city": "DALLAS",
"state": "TX",
"postal_code": "752016519",
"telephone_number": "214-922-9711",
"fax_number": "214-922-9752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2745 BOB WALLACE AVE SW",
"address_2": "SUITE C",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358054158",
"telephone_number": "256-532-5199",
"fax_number": "256-532-0293"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ODYSSEY HEALTHCARE OPERATING B LP",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-17",
"last_updated": "2008-07-17",
"deactivation_date": "2008-04-23",
"reactivation_date": "2008-07-17",
"status": "A",
"authorized_official_last_name": "ALLISON",
"authorized_official_first_name": "RODNEY",
"authorized_official_middle_name": "DIRK",
"authorized_official_title_or_position": "SR VP & CFO",
"authorized_official_telephone_number": "214-922-9711",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "AL",
"license": "11277",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PIC1611E",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Odyssey HealthCare of Huntsville",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.