Active NPI
Odyssey Healthcare Operating a LP
- Community Based Hospice Care Agency
- Pleasanton, CA
National Provider Identifier
1881899250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- ODYSSEY HEALTHCARE OPERATING A LP
- Practice address
- 5000 Hopyard Rd Ste 301
Pleasanton, CA 94588-3145 - Phone
- (925) 737-0203
- Fax
- (925) 737-0245
- NPI assigned
- Jun 18, 2007
- 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
- Mrs. Janet L. Combs
- Title
- VP of Licensure
- Phone
- (704) 664-2876
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
5000 Hopyard Rd Ste 301
Pleasanton, CA 94588-3145
Mailing address
PO Box 4060
Mooresville, NC 28117-4060
Phone (913) 814-2013
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881899250 | Medicaid | CA |
Other names 1
- Gentiva
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2162103 | Odyssey Healthcare Operating a, LP | Certificate of waiver | Feb 14, 2027 |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Community Based Hospice Care Agency
- Laurel Springs, NJ
- NPI 1992405674
Member Of
Locations
4120 Dublin Blvd
Ste 105
Dublin, CA 94568
Phone (925) 361-3170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730246400000",
"number": "1881899250",
"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": "913-814-2013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 HOPYARD RD STE 301",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945883145",
"telephone_number": "925-737-0203",
"fax_number": "925-737-0245"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ODYSSEY HEALTHCARE OPERATING A LP",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-18",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A",
"authorized_official_last_name": "COMBS",
"authorized_official_first_name": "JANET",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "VP OF LICENSURE",
"authorized_official_telephone_number": "704-664-2876",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1881899250",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gentiva",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.