Organization
ODYSSEY HEALTHCARE OPERATING A LP
Active
Other names
Gentiva
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET L. COMBS (VP OF LICENSURE)
(704) 664-2876
Entity
Organization
Contact information
Practice address
5000 HOPYARD RD STE 301, PLEASANTON, CA 94588-3145
(925) 737-0203
(925) 737-0245
Mailing address
PO BOX 4060, MOORESVILLE, NC 28117-4060
(913) 814-2013
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881899250
—
CA
Enumeration date
06/18/2007
Last updated
10/30/2024
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