Organization
ODYSSEY HEALTHCARE OPERATING A LP
Active
Other names
Gentiva
Organization subpart
No
Provider details
NPI number
Authorized official
JANET COMBS (VP OF LICENSURE)
(704) 664-2876
Entity
Organization
Contact information
Practice address
181 METRO DR STE 540, SAN JOSE, CA 95110-1346
(408) 441-0223
(408) 441-0244
Mailing address
PO BOX 4060, ATTN: REGULATORY, MOORESVILLE, NC 28117-4060
(575) 680-1459
(704) 664-1306
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033110994
—
CA
Enumeration date
08/02/2005
Last updated
11/28/2023
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