ODYSSEY HOUSE OF UTAH (NPI# 1588984280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588984280 |
Entity Type | Organization |
Organization Name | ODYSSEY HOUSE OF UTAH |
Practice Address |
68 S 600 E Slc UT 84102-1007 |
Mailing Address |
344 E 100 S Salt Lake City UT 84111-1700 |
Practice Telephone | 8013221001 |
Mailing Telephone | 8014283447 |
Enumeration Date | 2010-06-03 |
Last Update Date | 2010-06-03 |
Authorized Official Name | MR. MARLIN BECKSTEAD (VOCATIONAL TRAINNING) |
Authorized Official Telephone | 8014283447 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992148779 | Odyssey House of Utah | Community/Behavioral Health | 350 E 2100 S, Salt Lake City, UT 84115-2266 | 2013-04-11 |
1831474170 | Odyssey House of Utah | Substance Abuse Rehabilitation Facility | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2011-10-19 |
1174807259 | Odyssey House of Utah | Substance Abuse Rehabilitation Facility | 344 E 100 S, Ste 301, Salt Lake City, UT 84111-1700 | 2011-10-06 |
1588985238 | Odyssey House of Utah | Substance Abuse Rehabilitation Facility | 340 E 100 S, Salt Lake City, UT 84111-1702 | 2010-06-17 |
1356669550 | Odyssey House of Utah | Foster Care Agency | 344 E 100 S, Suite 301, Salt Lake City, UT 84111-1700 | 2010-05-12 |
Street Address |
68 S 600 E |
City | SLC |
State | UT |
Zip Code | 84102-1007 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659794402 | Derick Jensen | Community Health Worker | 68 S 600 E, Slc, UT 84102-1007 | 2014-01-30 |
1053631721 | Marlin Jay Beckstead | Counselor | 68 S 600 E, Slc, UT 84102-1007 | 2010-06-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
1093359960 | Hayle Mayer | Behavior Technician | 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 | 2019-11-04 |
1326680869 | Ronald Mcdonald House of The Intermountain Area | Meals | 935 E. South Temple, Salt Lake City, UT 84102 | 2019-10-16 |
1508419581 | Claire Pemberton | Behavior Technician | 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 | 2019-07-19 |
1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
1649741802 | Colten Vancampen | Behavior Technician | 515 S 700 E #2a, Salt Lake City, UT 84102 | 2018-12-16 |
1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
1104311661 | Malorey Kooyman | Behavior Technician | 515 700 East, Suite 2a, Salt Lake City, UT 84102 | 2018-06-27 |
1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
Find all providers in zip 84102 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528510484 | Jenna Uitdenhowen | Substance Abuse Rehabilitation Facility | 344 E 100 S, Ste 301, Slc, UT 84111-1700 | 2016-10-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063013886 | Brc Wellness LLC | Substance Abuse Rehabilitation Facility | 4911 S 900 E Ste B, Salt Lake City, UT 84117-5747 | 2020-11-06 |
1891307104 | Steps Recovery Center | Substance Abuse Rehabilitation Facility | 345 E 4500 S # 100-140, Murray, UT 84107-3991 | 2020-08-18 |
1104460666 | Active Recovery, LLC | Substance Abuse Rehabilitation Facility | 25 S Main St # 212, Centerville, UT 84014-1840 | 2019-10-28 |
1437709441 | Insight Recovery Cedar City, LLC | Substance Abuse Rehabilitation Facility | 1050 W Old Highway 91, Parowan, UT 84761-7725 | 2019-09-12 |
1316506470 | Evnsq, LLC | Substance Abuse Rehabilitation Facility | 5162 S Highland Dr, Holladay, UT 84117-7048 | 2019-06-11 |
1114584356 | Juniper Canyon Recovery Center for Women, LLC | Substance Abuse Rehabilitation Facility | 520 North Aspen Road, Loa, UT 84747-8474 | 2019-05-23 |
1750948030 | Liberty Addiction Recovery Centers LLC | Substance Abuse Rehabilitation Facility | 10458 N 6570 W, Highland, UT 84003-9311 | 2019-05-22 |
1235793290 | Mountain Valley Recovery LLC | Substance Abuse Rehabilitation Facility | 9431 N 400 W, Holden, UT 84636 | 2019-04-25 |
1346803525 | Brookstone Foundation | Substance Abuse Rehabilitation Facility | 198 N 100 E # 198n100e, St George, UT 84770-2831 | 2019-04-15 |
1639649684 | Sterling Recovery | Substance Abuse Rehabilitation Facility | 525 W 465 N Ste 130, Providence, UT 84332-5604 | 2018-12-03 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on ODYSSEY HOUSE OF UTAH.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.