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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ODYSSEY HEALTHCARE HOLDING COMPANY
NPI 1114627890
Hospice Care, Community Based in Grand Rapids, MI

Active since March 09, 2023CLIA 23D0936161 · Waiver
695 KENMOOR AVE SE STE B, GRAND RAPIDS, MI 49546(616) 956-0636 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 28, 2026, Mar 9, 2023 (2 updates tracked since 2023).

About Odyssey Healthcare Holding Company NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ODYSSEY HEALTHCARE HOLDING COMPANY (NPI 1114627890), doing business as Heartland, is a healthcare organization registered as a hospice care, community based in Grand Rapids, Michigan and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through September 15, 2028, maintains 3 additional practice locations, and lists Jennifer Tyler, Vp Of Regulatory Counsel, as its authorized official.

NPPES Registry Identity

NPI1114627890
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameODYSSEY HEALTHCARE HOLDING COMPANY
Location Address695 KENMOOR AVE SE STE BGrand Rapids, MI 49546-2375
Mailing AddressPo Box 4060Mooresville, NC 28117-4060 · (704) 664-2876
Phone(616) 956-0636
Organization SubpartNo
Authorized OfficialJennifer TylerVp Of Regulatory Counsel · (678) 449-0459
Enumeration DateMarch 9, 2023
Last NPPES UpdateSeptember 28, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2026
✔ NPI 1114627890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
695 KENMOOR AVE SE STE B, Grand Rapids, MI 49546
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Other Names 1

Doing Business AsHeartland

Secondary Practice Locations 3

Location 18075 Creekside Dr Ste 120Portage, MI 49024-5390 · Phone (269) 324-5705 · Fax (269) 324-1815
Location 21053 W Main StFremont, MI 49412-1408 · Phone (231) 924-0153 · Fax (231) 924-0415
Location 34000 Eastern Sky Dr Ste 2Traverse City, MI 49684-7351 · Phone (231) 935-3089 · Fax (231) 252-0279

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0936161

Odyssey Healthcare Holding Company Dba Heartland Hospice (grand Rapids) · Grand Rapids, MI
Active · expires Sep 15, 2028
CLIA Number23D0936161
Laboratory TypeHospice
Certificate Effective DateSeptember 16, 2026
Certificate Expiration DateSeptember 15, 2028
Laboratory DirectorSelece L. Beasley
Laboratory Phone(616) 956-0636
Laboratory LocationOdyssey Healthcare Holding Company Dba Heartland Hospice (grand Rapids)695 Kenmoor Avenue SE Suite B, Grand Rapids, MI 49546
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEARTLAND HOSPICE SERVICES, LLC
Internal Medicine (Hospice and Palliative Medicine)
695 KENMOOR AVE SE STE B
GRAND RAPIDS, MI 49546
Kent County (616) 956-0636
HEARTLAND HOSPICE SERVICES LLC
Hospice Care, Community Based
695 KENMOOR AVE SE STE B
GRAND RAPIDS, MI 49546
Kent County (616) 956-0636
MIDWEST ROCKETS HH, LLC
Home Health
695 KENMOOR AVE SE STE B
GRAND RAPIDS, MI 49546
Kent County (616) 942-7733

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Odyssey Healthcare Holding Company's NPI number?

The NPI number for Odyssey Healthcare Holding Company is 1114627890. It was assigned to this organization in the NPPES registry on March 9, 2023. The provider is doing business as Heartland.

Where is Odyssey Healthcare Holding Company located?

Odyssey Healthcare Holding Company is located at 695 Kenmoor Ave SE Ste B, Grand Rapids, MI 49546. The listed phone number is (616) 956-0636.

What is Odyssey Healthcare Holding Company's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Odyssey Healthcare Holding Company hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0936161) is associated with this NPI, valid through September 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Odyssey Healthcare Holding Company accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Odyssey Healthcare Holding Company as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Odyssey Healthcare Holding Company was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.