NPIMap

Organization Active NPI

Odyssey Healthcare Operating a, LP

Doing business as Gentiva

  • Community Based Hospice Care Agency
  • Beaumont, TX
National Provider Identifier
1821099714
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ODYSSEY HEALTHCARE OPERATING A, LP
Doing business as
Gentiva
Practice address
3129 College St Ste 150
Beaumont, TX 77701-4682
Phone
(409) 924-0085
Fax
(409) 924-0448
NPI assigned
Aug 2, 2005
Last updated
May 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Tyler
Title
VP of Regulatory Counsel
Phone
(678) 449-0459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

3129 College St Ste 150
Beaumont, TX 77701-4682

Mailing address

PO Box 4060
Mooresville, NC 28117-4060
Phone (704) 664-2876

Other practice location 1

12777 Jones Rd Ste 375
Houston, TX 77070-4627
Phone (346) 206-2985

Other practice location 2

1201 W Gibson St
Jasper, TX 75951-4807
Phone (409) 384-4336

Other practice location 3

18333 Egret Bay Blvd Ste 560
Houston, TX 77058-6408
Phone (281) 532-6498

Other identifiers 1

IdentifierTypeStateIssuer
001003397MedicaidTX

Other names 1

  • Gentiva Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060306000084 TX Part A Provider - Hospice 4385551035 Practice locations: Beaumont, TX; Houston, TX; Jasper, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821099714. Details of each certification follow.

Hospice certification: CCN 451638

Legal name
ODYSSEY HEALTHCARE OPERATING A LP
Doing business as
GENTIVA
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 9, 1996
Last certification
Apr 21, 2018
Ownership / control type
Proprietary - Corporation
Organization structure
PartnershipProprietary
Enrollment address
3129 College St
Ste 150
Beaumont, TX 77701-4682

Care Compare: Hospice

Medicare Care Compare
Listed as
GentivaCCN 451638 · All quality measures
Ownership
For-Profit
Certified
Feb 9, 1996
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2144278Odyssey Healthcare Operating a, LP3129 College St Ste 150, Beaumont, TX 77701Certificate of waiverFeb 13, 2028

National Provider Directory

National Provider Directory
Tax ID family
Odyssey Healthcare Operating a LP41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

Organizations that report the same tax identification number in the National Provider Directory.

View all 40

Member of 2

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

Locations

12777 Jones Rd
Ste 375
Houston, TX 77070
Phone (346) 206-2985

Ownership & related parties

All disclosed owners & managing parties 25

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

NameRoleSinceShare
CH Services Midco Holdings Inc Organization, Mooresville, NC Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Kentucky Homecare Parent Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Ronald C Lazas Individual Corporate OfficerGen Counsel and Corporate Secretary Apr 27, 2021
Curo Health Services Holdings, Inc Organization, Mooresville, NC Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
David Robinson Arnold Individual Corporate OfficerVP and Controller Dec 31, 2021
Odyssey Healthcare Inc. Organization, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2016 100%
Thomas Joseph Dolan Individual Corporate OfficerChief Financial Officer Nov 30, 2021
John Terry Fowler Individual Contracted Managing EmployeeMD; Nov 5, 2010
Kendra Gray Individual W-2 Managing EmployeeHospice Administrator Mar 3, 2021
Charlotte Midco, LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 100%
Kentucky Homecare Holdings, Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Odyssey Healthcare LP, LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Direct Ownership Interest Feb 1, 2016 99%
Humana Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Falcon Hospice, LP Organization, Atlanta, GA For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 100%
David Allen Causby Individual Corporate OfficerChief Executive Officer & President Apr 27, 2021
Charlotte Buyer, Inc. Organization, Mooresville, NC Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Curo Health Services LLC Organization, Mooresville, NC LLC, For-profit, Chain home office 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Odyssey Healthcare Holding Company Organization, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2016 100%
Odyssey Healthcare GP, LLC Organization, Atlanta, GA LLC, For-profit General Partnership Interest Jul 1, 2001 1%
Janet L Combs Individual Corporate OfficerVP of Licensure Nov 1, 2021
CD&R Falcon Holdings, LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 60%
Centerwell Health Services Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 22, 2022 40%
Kah Hospice Company, Inc Organization, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
CH Services Group Holdings Inc Organization, Mooresville, NC Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
CH Services Holdings Inc Organization, Mooresville, NC Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%

Owners & managing parties with NPI records 36

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

View all 36

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
GentivaHarlingen, TX, CCN 451667 Hospice 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2016

Facilities with the same owner 196

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 196

Practitioners & affiliated clinicians

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.

Affiliated clinicians 11

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

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1821099714",
    "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",
            "fax_number": "704-664-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 COLLEGE ST STE 150",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014682",
            "telephone_number": "409-924-0085",
            "fax_number": "409-924-0448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12777 Jones Rd Ste 375",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770704627",
            "country_code": "US",
            "telephone_number": "346-206-2985",
            "fax_number": "844-826-4626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 W Gibson St",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "TX",
            "postal_code": "759514807",
            "country_code": "US",
            "telephone_number": "409-384-4336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18333 Egret Bay Blvd Ste 560",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770586408",
            "country_code": "US",
            "telephone_number": "281-532-6498",
            "fax_number": "832-864-3928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ODYSSEY HEALTHCARE OPERATING A, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "VP OF REGULATORY COUNSEL",
        "authorized_official_telephone_number": "678-449-0459"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001003397",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentiva",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.