Odyssey Healthcare Operating B LP

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

E5105 Issued in AL

Legal business name

ODYSSEY HEALTHCARE OPERATING B LP

Doing business as

Odyssey HealthCare of Montgomery

Practice address

700 Inerstate Park Drive
Suite 705
Montgomery, AL 36109-5410

Phone

(334) 213-1119

Fax

(334) 213-6456

NPI assigned

Aug 9, 2005

Reactivated

Jun 9, 2008

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 identifiers 1

Other names 1

• Odyssey HealthCare of Montgomery Doing business as

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1821099300",
    "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": "700 INERSTATE PARK DRIVE",
            "address_2": "SUITE 705",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361095410",
            "telephone_number": "334-213-1119",
            "fax_number": "334-213-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY HEALTHCARE OPERATING B LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2008-06-09",
        "deactivation_date": "2008-05-05",
        "reactivation_date": "2008-06-09",
        "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": "E5105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PIC1590E",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Odyssey HealthCare of Montgomery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Occupational Health Centers of Alabama PC (Concentra Medical Center)
• Candace Odom, LGSW
• Lauren Victoria Odom, MD, MPH
• Shepherd A Odom, MD
• Temidayo Olugbenga Odugbesan, M.D., SA-C
• Kimberly Diane Ogletree, D.C.
• Mina Oh
• Harry Eugene Ohme III, DMD
• Felicia Chizomam Oji, DNP, CRNP
• Boniface Chike Okafor, M.D.

• Community Based Hospice Care Agency in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Community Based Hospice Care Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.

Verify at the official NPI Registry.