Provider Demographics
NPI:1104827682
Name:ODYSSEY HEALTHCARE OPERATING B LP
Entity Type:Organization
Organization Name:ODYSSEY HEALTHCARE OPERATING B LP
Other - Org Name:KINDRED HOSPICE I
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-814-2288
Mailing Address - Street 1:12900 FOSTER ST.
Mailing Address - Street 2:SUITE 400
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66213-2696
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1900 INDIAN WOOD CIR
Practice Address - Street 2:SUITE 100B
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-4033
Practice Address - Country:US
Practice Address - Phone:419-887-6700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-09
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2445134Medicaid
361616Medicare Oscar/Certification