Hospice of the Palm Coast Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

50370968 Issued in FL

Legal business name

HOSPICE OF THE PALM COAST INC

Practice address

149 S Ridgewood Ave
Suite 600
Daytona Beach, FL 32114-4365

Phone

(386) 248-2380

Fax

(386) 248-2388

NPI assigned

Aug 9, 2005

Organization subpart

No

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

Addresses

Other names 1

• Odyssey HealthCare Doing business as

Member of 1

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

• Odyssey Healthcare Holding Company

  • Community Based Hospice Care Agency
  • Laurel Springs, NJ
  • NPI 1992405674

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harold Gussman III, APRN

  • Nurse Practitioner
  • St Petersburg, FL
  • NPI 1437734340
  NPD (past)
• Jennifer Ramirez

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1831700319
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1730180076",
    "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": "149 S RIDGEWOOD AVE",
            "address_2": "SUITE 600",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144365",
            "telephone_number": "386-248-2380",
            "fax_number": "386-248-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF THE PALM COAST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2007-08-01",
        "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": "FL",
            "license": "50370968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Odyssey HealthCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Villa L Hopkins-Randolph
• Ronald Alexander Horowitz, M.D.
• Stephanie Horrell, LCSW
• Brittany Horton- Duran, ARNP
• Kevin M Hosek
• Keivan Hosseinnejad
• Kerri Hotlen
• Brandy Nichole House
• Deborah Ann Housley, MS
• Danielle Lauriet Howard, RN

• Community Based Hospice Care Agency in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Community Based Hospice Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.