NPI 1467802405 · live from the CMS NPI Registry
Odyssey Healthcare Operating A, Lp
Hospice Care, Community Based in Russellville, AR. National Provider Identifier 1467802405, active.
NPI record
| NPI | 1467802405 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 3801 W Main St Ste A, Russellville, AR 72801 |
| Practice phone | 479-219-6211 |
| Mailing address | Po Box 4060, Mooresville, NC 28117 |
| Enumerated | June 21, 2016 |
| Last updated | November 20, 2023 |
| Authorized official | Janet Combs, Vp Of Licensure |
| Other names | Gentiva |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.