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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 : 1750382750
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 :
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 : 301 NATURAL RESOURCES DR STE 102
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72205-1417
Country : US
Telephone Number : 501-223-8868
Fax Number : 501-223-8623
Authorized Official
Title or Position : VP LICENSURE
Name : JANET L COMBS
Credential :
Telephone Number : 704-662-1761
Provider Enumeration Date : 08/02/2005
Last Update Date : 05/26/2026

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Directions to “ODYSSEY HEALTHCARE OPERATING A LP ” Practice Location

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