Hospice of the Palm Coast Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

50370970 Issued in FL

Legal business name

HOSPICE OF THE PALM COAST INC

Doing business as

Odyssey HealthCare

Practice address

6161 Blue Lagoon Drive
Suite 170
Miami, FL 33126-2045

Phone

(786) 388-1400

Fax

(786) 388-1401

NPI assigned

Jul 11, 2006

Last updated

Aug 25, 2009By the provider in NPPES

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 Doing business as

Member of 1

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

• Odyssey Healthcare Holding Company

  dba Heartland

  • Community Based Hospice Care Agency
  • Madison, WI
  • NPI 1710687405

  Member Of

  NPD member

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1912932948",
    "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": "6161 BLUE LAGOON DRIVE",
            "address_2": "SUITE 170",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262045",
            "telephone_number": "786-388-1400",
            "fax_number": "786-388-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF THE PALM COAST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2009-08-25",
        "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": "FL",
            "license": "50370970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150019800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Odyssey HealthCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Krystal Kalesha Hosein, PTA
• Peter Joel Hosein, MBBS
• Patrick Hosey, RCSWI
• Hazel Mary Hosford, PA
• Hospeq, Inc.
• Hospital Upr
• Hospitalist of South Slorida Inc
• Ellin Hossain
• Seyed Hossein Hosseini Sharifi, MD
• Mojgan Hosseinipour, DO

• Community Based Hospice Care Agency in Miami, FL
• Providers in Miami, FL by specialty
• Community Based Hospice Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.