Organization
ODYSSEY HEALTHCARE OPERATING A LP
Active
Other names
Gentiva
Organization subpart
No
Provider details
NPI number
Authorized official
JANET L. COMBS (VP OF LICENSURE)
(704) 664-2876
Entity
Organization
Contact information
Practice address
301 E VANDERBILT WAY STE 250, SAN BERNARDINO, CA 92408-3512
(909) 888-5000
(909) 888-4040
Mailing address
PO BOX 4060, ATTN REGULATORY, MOORESVILLE, NC 28117-4060
(704) 664-2876
(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
—
HPC01593H
—
CA
Enumeration date
08/02/2005
Last updated
08/12/2024
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