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
1	251G00000X	Community Based Hospice Care Agency

Other Identifiers

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

General Provider Information

NPI Number	:	1295736270
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ODYSSEY HEALTHCARE OPERATING A LP

Provider Business Mailing Address
First Line	:	12900 FOSTER
Second Line	:	SUITE 400
City	:	OVERLAND PARK
State	:	KS
Zip	:	66213-2696
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5210 E WILLIAMS CIRCLE
Second Line	:	SUITE 100
City	:	TUCSON
State	:	AZ
Zip	:	85711-4479
Country	:	US
Telephone Number	:	520-577-0270
Fax Number	:

Authorized Official
Title or Position	:	ASSISTANT SECRETARY
Name	:	MS. RUTH C. SCHWARTZ
Credential	:
Telephone Number	:	913-814-2288

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	08/29/2014

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