Organization Active NPI

Odyssey Healthcare Operating a LP

Doing business as Odyssey HealthCare Of Phoenix

  • Community Based Hospice Care Agency
  • Phoenix, AZ
National Provider Identifier
1881695765
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HSPC3065 Issued in AZ
Legal business name
ODYSSEY HEALTHCARE OPERATING A LP
Doing business as
Odyssey HealthCare Of Phoenix
Practice address
202 E Earll Dr
Suite 160
Phoenix, AZ 85012-2636
Phone
(602) 279-0677
Fax
(602) 279-1085
NPI assigned
Aug 2, 2005
Last updated
Aug 8, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HSPC3065 AZ Primary

Addresses

Primary practice location

202 E Earll Dr
Suite 160
Phoenix, AZ 85012-2636

Mailing address

717 N Harwood St
Suite 1500
Dallas, TX 75201-6519
Phone (214) 922-9711

Other identifiers 1

IdentifierTypeStateIssuer
688351MedicaidAZ

Other names 1

  • Odyssey HealthCare Of Phoenix Doing business as

National Provider Directory

National Provider Directory

Member of 1

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

Locations

202 E Earll Dr
Ste 160
Phoenix, AZ 85012
Phone (602) 239-6880

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": "1186531200000",
    "number": "1881695765",
    "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": "202 E EARLL DR",
            "address_2": "SUITE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122636",
            "telephone_number": "602-279-0677",
            "fax_number": "602-279-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY HEALTHCARE OPERATING A LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2007-08-08",
        "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": "AZ",
            "license": "HSPC3065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "688351",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Odyssey HealthCare Of Phoenix",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.