Active NPI
Odyssey Healthcare Operating a, LP
- Home Health Agency
- Hope, AR
National Provider Identifier
1992469555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ODYSSEY HEALTHCARE OPERATING A, LP
- Practice address
- 203 S Main St
Hope, AR 71801-4319 - Phone
- (870) 474-6710
- Fax
- (870) 722-8015
- NPI assigned
- Oct 28, 2021
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Janet L. Combs
- Title
- Authorized Offical
- Phone
- (704) 664-2876
Corporate family (same tax ID) 40
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National Provider Directory
National Provider Directory- Tax ID family
- Odyssey Healthcare Operating a LP
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
203 S Main St
Hope, AR 71801-4319
Mailing address
P.O. Box 4060
Attn: Regulatory
Mooresville, NC 28117
Phone (704) 664-2876
Other practice location 1
209 S Main St
Hope, AR 71801-4319
Phone (870) 292-4937
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 282878732 | Medicaid | AR |
Other names 1
NPPES NPI Registry- Gentiva
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 26, 2024.
{
"created_epoch": "1635379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732579200000",
"number": "1992469555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 4060",
"address_2": "ATTN: REGULATORY",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "28117",
"telephone_number": "704-664-2876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 S MAIN ST",
"city": "HOPE",
"state": "AR",
"postal_code": "718014319",
"telephone_number": "870-474-6710",
"fax_number": "870-722-8015"
}
],
"practiceLocations": [
{
"address_1": "209 S Main St",
"address_purpose": "LOCATION",
"city": "Hope",
"state": "AR",
"postal_code": "718014319",
"country_code": "US",
"telephone_number": "870-292-4937",
"fax_number": "870-722-7064",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ODYSSEY HEALTHCARE OPERATING A, LP",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-28",
"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": "AUTHORIZED OFFICAL",
"authorized_official_telephone_number": "704-664-2876"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "282878732",
"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 Hope, 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.