ODYSSEY HOUSE OF UTAH


Address: 340 E 100 S, Salt Lake City, UT 84111-1702
Phone: 8014283423

ODYSSEY HOUSE OF UTAH (NPI# 1588985238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588985238
Entity Type Organization
Organization Name ODYSSEY HOUSE OF UTAH
Practice Address 340 E 100 S
Salt Lake City
UT 84111-1702
Practice Telephone 8014283423
Mailing Telephone 8014283423
Enumeration Date 2010-06-17
Last Update Date 2010-06-17
Authorized Official Name MRS. SHARON M ENGLAND (OFFICE MANAGER)
Authorized Official Telephone 8014283423
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Other Provider IDs and Locations

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
1588984280 Odyssey House of Utah Substance Abuse Rehabilitation Facility 68 S 600 E, Slc, UT 84102-1007 2010-06-03
1356669550 Odyssey House of Utah Foster Care Agency 344 E 100 S, Suite 301, Salt Lake City, UT 84111-1700 2010-05-12

Office Location

Street Address 340 E 100 S
City SALT LAKE CITY
State UT
Zip Code 84111-1702

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033143706 Odyssey House Inc. Clinic/Center 340 E 100 S, Salt Lake City, UT 84111-1702 2006-07-10
1730788084 Braden Price Case Manager/Care Coordinator 340 E 100 S, Salt Lake City, UT 84111-1702 2020-10-19
1316500754 Chloe Lorraine Maddox Case Manager/Care Coordinator 340 E 100 S, Salt Lake City, UT 84111-1702 2019-04-22
1922573633 Stephanie Wheatley Nurse Practitioner 340 E 100 S, Salt Lake City, UT 84111-1836 2018-10-09
1750829743 Krista Eger Community Health Worker 340 E 100 S, Ste 301, Salt Lake City, UT 84111-1702 2017-02-09
1164856886 Chad Ryan Rebo Physician Assistant 340 E 100 S, Salt Lake City, UT 84111-1702 2013-08-29
1356612790 Myles Davis Counselor 340 E 100 S, Salt Lake City, UT 84111-1702 2012-01-17
1780960153 Robert Price Counselor 340 E 100 S, Salt Lake City, UT 84111-1702 2011-10-28
1538477187 Bradley Pedersen Counselor 340 E 100 S, Salt Lake City, UT 84111-1702 2010-09-16
1164739454 Hayley L Mcmillan Counselor 340 E 100 S, Salt Lake City, UT 84111-1702 2010-09-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316551336 Mary Ann Rush Case Manager/Care Coordinator 334 E. 100 S., Slc, UT 84111 2020-09-08
1790396554 Stephanie G Mishenko Military Health Care Provider 344e 100s, Slc, UT 84111 2020-08-13
1386264802 Mckensee M Carter Case Manager/Care Coordinator 334 E 100 S, Salt Lake City, UT 84111 2020-04-24
1316421761 Community Health Centers, Inc. Social Worker 610 S 200 E Ste #b, Salt Lake City, UT 84111 2018-09-21
1528545506 Lauren Brittney Harman Case Manager/Care Coordinator 344 E. 100 S., Salt Lake City, UT 84111 2018-07-23
1851896484 Shivani Chowdhary Dentist 370 E South Temple Ste 350, Salt Lake City, UT 84111 2018-03-26
1801390661 Jaylee Marie Watman Case Manager/Care Coordinator 344 E. 100 S. Ste 301, Salt Lake City, UT 84111 2018-03-19
1467963918 Victoira Julia Graham Case Management 344 East 100 South Ste 301, Salt Lake City, UT 84111 2017-10-23
1750805404 Kayla Hymas Behavioral Analyst 243 E. 400 S., Slc, UT 84111 2017-08-02
1134643224 Julie Peaslee Counselor 275 E South Temple Ste 110, Salt Lake City, UT 84111 2017-07-31
Find all providers in zip 84111

Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
1528444999 Jrl Broken Arrow LLC Substance Abuse Rehabilitation Facility 2610 S Highland Dr, Salt Lake City, UT 84106-2714 2015-08-07
1962891978 Chris Ostler Substance Abuse Rehabilitation Facility 344 East 100 South,ste 301, Salt Lake City, UT 84111 2015-01-14
1144641564 Ebh Southwest Services, Inc. Substance Abuse Rehabilitation Facility 8072 S Highland Dr, Salt Lake City, UT 84121-5037 2014-01-02
1093152290 Sober Living Properties Substance Abuse Rehabilitation Facility 1027 E Millcreek Way, Salt Lake City, UT 84106-2015 2013-05-29
1831482231 Project Recovery, Inc. Substance Abuse Rehabilitation Facility 1338 Foothill Dr, 162, Salt Lake City, UT 84108-2321 2011-05-18
1043515364 The Haven Substance Abuse Rehabilitation Facility 1450 S West Temple, Apt F 304, Salt Lake City, UT 84115-5203 2011-01-18
1326358599 Odyssey House Substance Abuse Rehabilitation Facility 340 East 100 South, Odyssey House, Salt Lake City, UT 84111 2010-10-20
1861524464 Journey At Willowcreek Substance Abuse Rehabilitation Facility 8072 Highland Dr, Salt Lake City, UT 84121-5037 2007-03-09
1164521852 Helping Hand Association Substance Abuse Rehabilitation Facility 974 East South Temple, Salt Lake City, UT 84102-1413 2006-09-21
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84111

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Dataset Information

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.

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