Odyssey Hospice Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ODYSSEY HOSPICE CARE LLC

Practice address

345 Diversion St Ste 400
Rochester Hills, MI 48307-6639

Phone

(248) 417-0667

NPI assigned

Sep 28, 2021

Last updated

Jan 5, 2024By 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

Mr. Eleas Telegadas

Title

Owner

Phone

(248) 417-0667

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740951847. Details of each certification follow.

• CCN 231734 Hospice · Active · Details

Hospice certification: CCN 231734

Legal name

ODYSSEY HOSPICE CARE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 10, 2025

Last certification

Sep 30, 2025

Organization structure

LLCProprietary

Enrollment address

3150 Livernois Rd
Ste 210
Troy, MI 48083-5039

Listed as

Odyssey Hospice Care, LLCCCN 231734 · All quality measures

Certified

Sep 10, 2025

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

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

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Lisa Ranea Dugas, ANP-BC

  • Adult Health Nurse Practitioner
  • Trenton, MI
  • NPI 1235437831

  W-2 Managing Employee

  CMS ownership
• Baldev K Gupta, M.D.

  • Internal Medicine Physician
  • Trenton, MI
  • NPI 1720168164

  W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Ranea Dugas, ANP-BC

  • Adult Health Nurse Practitioner
  • Trenton, MI
  • NPI 1235437831
  NPD (past)

Affiliated clinicians 1

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

• Baldev K Gupta, M.D.

  • Internal Medicine Physician
  • Trenton, MI
  • NPI 1720168164

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1740951847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 DIVERSION ST STE 400",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076639",
            "telephone_number": "248-417-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 DIVERSION ST STE 400",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076639",
            "telephone_number": "248-417-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "TELEGADAS",
        "authorized_official_first_name": "ELEAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-417-0667",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.