NPIMap

Organization Active NPI

Odyssey Healthcare Operating a LP

Doing business as Odyssey HealthCare of Philadelphia

  • Community Based Hospice Care Agency
  • Blue Bell, PA
National Provider Identifier
1952302846
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
16461601 Issued in PA
Legal business name
ODYSSEY HEALTHCARE OPERATING A LP
Doing business as
Odyssey HealthCare of Philadelphia
Practice address
512 Township Line Rd
Building 2 Valley Square Suite 305
Blue Bell, PA 19422-2700
Phone
(215) 619-7710
Fax
(215) 619-7740
NPI assigned
Aug 2, 2005
Last updated
Aug 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 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 16461601 PA Primary

Addresses

Primary practice location

512 Township Line Rd
Building 2 Valley Square Suite 305
Blue Bell, PA 19422-2700

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0019101900005MedicaidPA

Other names 1

  • Odyssey HealthCare of Philadelphia Doing business as

National Provider Directory

National Provider Directory

Member of 2

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

Locations

2 Valley Sq
Ste 305
Blue Bell, PA 19422
Phone (215) 619-7710

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": "1185926400000",
    "number": "1952302846",
    "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": "512 TOWNSHIP LINE RD",
            "address_2": "BUILDING 2 VALLEY SQUARE SUITE 305",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222700",
            "telephone_number": "215-619-7710",
            "fax_number": "215-619-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY HEALTHCARE OPERATING A LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2007-08-01",
        "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": "PA",
            "license": "16461601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019101900005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Odyssey HealthCare of Philadelphia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blue Bell, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.