Organization
ODYSSEY HEALTHCARE OPERATING B, LP
Active
Other names
Gentiva
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER TYLER (VP OF REGULATORY COUNSEL)
(704) 664-2876
Entity
Organization
Contact information
Practice address
2800 DAUPHIN ST STE 103, MOBILE, AL 36606-2400
(251) 478-9900
(251) 478-9902
Mailing address
PO BOX 4060, ATTN: REGULATORY, MOORESVILLE, NC 28117-4060
(704) 664-2876
(704) 230-0946
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PIC1036E
—
AL
05
—
PIC1605E
—
AL
Enumeration date
08/04/2005
Last updated
08/27/2026
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