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NPI Code Detail

MEDICARE: ODYSSEY HEALTHCARE OPERATING A LP

MEDICARE: ODYSSEY HEALTHCARE OPERATING A LP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346241056
Entity Type Code : Organization
Provider Name (Legal Business Name) : ODYSSEY HEALTHCARE OPERATING A LP
Provider Business Mailing Address
First Line : PO BOX 4060
Second Line : ATTN: REGULATORY
City : MOORESVILLE
State : NC
Zip : 28117-4060
Country : US
Telephone Number : 704-664-2876
Fax Number : 704-664-1306
Provider Business Practice Location Address
First Line : 5080 SHOREHAM PL STE 105
Second Line :
City : SAN DIEGO
State : CA
Zip : 92122-5931
Country : US
Telephone Number : 858-565-2499
Fax Number :
Authorized Official
Title or Position : VP OF LICENSURE
Name : JANET COMBS
Credential :
Telephone Number : 704-664-2876
Provider Enumeration Date : 08/03/2005
Last Update Date : 09/30/2024

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Directions to “ODYSSEY HEALTHCARE OPERATING A LP ” Practice Location

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