Active NPI
Odyssey Healthcare Operating a LP
Doing business as Gentiva
- Home Health Agency
- Fayetteville, AR
National Provider Identifier
1871018432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- AR5326
- Legal business name
- ODYSSEY HEALTHCARE OPERATING A LP
- Doing business as
- Gentiva
- Practice address
- 2961 N Point Cir Ste 202
Fayetteville, AR 72704-6976 - Phone
- (501) 508-8531
- NPI assigned
- Aug 4, 2017
- Last updated
- Nov 26, 2024
- 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
- Janet L. Combs
- Title
- Auhorized Official
- Phone
- (704) 662-1761
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | AR5326 | AR | Primary |
Addresses
Primary practice location
2961 N Point Cir Ste 202
Fayetteville, AR 72704-6976
Mailing address
PO Box 4060
Mooresville, NC 28117-4060
Phone (704) 664-2876
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AR57801 | Other | AR | STATE LICENSE |
Other names 1
- Gentiva
National Provider Directory
National Provider Directory- Tax ID family
- Centerwell Home Health
Other organizations with this tax ID 13
Organizations that report the same tax identification number in the National Provider Directory.
-
dba CenterWell Home Health
- Home Health Agency
- Forrest City, AR
- NPI 1356793467
-
dba CenterWell Home Health
- Home Health Agency
- Russellville, AR
- NPI 1912357948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732579200000",
"number": "1871018432",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2961 N POINT CIR STE 202",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727046976",
"telephone_number": "501-508-8531"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ODYSSEY HEALTHCARE OPERATING A LP",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-04",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A",
"authorized_official_last_name": "COMBS",
"authorized_official_first_name": "JANET",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "AUHORIZED OFFICIAL",
"authorized_official_telephone_number": "704-662-1761"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "AR",
"license": "AR5326",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "AR57801",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gentiva",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Gentiva",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.