ODYSSEY PROGRAMS, LLC (NPI# 1619091659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619091659 |
Entity Type | Organization |
Organization Name | ODYSSEY PROGRAMS, LLC |
Other Organization Name | ODYSSEY - DAKOTA COUNTY JUVENILE SERVICE CENTER |
Practice Address |
1600 Highway 55 Hastings MN 55003 |
Mailing Address |
550 Main Str #230 New Brighton MN 55112 |
Practice Telephone | 6514388219 |
Practice Fax Number | 6514388252 |
Mailing Telephone | 6123267600 |
Mailing Fax Number | 6123267549 |
Enumeration Date | 2007-03-16 |
Last Update Date | 2008-09-16 |
Authorized Official Name | PAUL ALAN LINDEMAN (DIRECTOR - REVENUE CYCLE MANAGEMENT) |
Authorized Official Telephone | 6123267566 |
Is Organization Subpart | Y |
Parent Organization Name | MERIDIAN BEHAVIORAL HEALTH |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1023927 | MN | Behavioral Health & Social Service Providers |
Y | 324500000X | Substance Abuse Rehabilitation Facility | 10239271CDT | MN | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Odyssey - Dakota County Juvenile Service Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265556203 | Odyssey Programs, LLC | Counselor | 14300 Cty Rd 62, Minnetonka, MN 55345 | 2007-03-16 |
1700903952 | Odyssey Programs, LLC | Counselor | 550 Main St, New Brighton, MN 55112-3271 | 2007-03-23 |
Street Address |
1600 HIGHWAY 55 |
City | HASTINGS |
State | MN |
Zip Code | 55003 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356816540 | Janae Ruth Burt | Counselor | 1600 Highway 55, Hastings, MN 55033-2368 | 2018-10-04 |
1801389382 | Jennifer Ann Olander | Counselor | 1600 Highway 55, Hastings, MN 55033 | 2018-06-11 |
1023309895 | Jane Victoria Schwark | Social Worker | 1600 Highway 55, Hastings, MN 55033-2368 | 2011-04-27 |
1770874943 | Laura R Anderson | Counselor | 1600 Highway 55, Hastings, MN 55033-2368 | 2011-04-22 |
1578683256 | Linda K Hansen | Psychologist | 1600 Highway 55, Hastings, MN 55033-2368 | 2007-03-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730393737 | Odyssey Juvenile Services | Counselor | 1600 Cty Rd 55, Hastings, MN 55003 | 2007-05-09 |
1861521544 | Scott Howard Edlin | Chiropractor | 210 3rd St N, Bayport, MN 55003-1027 | 2007-03-05 |
1447430228 | Inspired Chiropractic | Chiropractor | 210 3rd St N, Bayport, MN 55003-1027 | 2007-11-08 |
1487843819 | Clemmens Chiropractic, P.a. | Chiropractor | 210 3rd St N, Bayport, MN 55003-1027 | 2007-10-22 |
1124094289 | William B Shea | Dentist | 277 3rd St N, Bayport, MN 55003-1028 | 2006-02-27 |
1821650482 | Evgeny Bashirov | Dentist | 277 3rd St N, Bayport, MN 55003-1028 | 2019-07-03 |
1376063818 | Jay Feuillerat | Dentist | 277 3rd St N, Bayport, MN 55003-1028 | 2017-06-26 |
1134298839 | Deborah Diekmann | Dentist | 277 3rd St N, Bayport, MN 55003-1028 | 2006-11-07 |
1225107998 | Bruce F Filson Dds Pa | Dentist | 277 3rd St N, Bayport, MN 55003-1028 | 2006-11-07 |
1306915558 | Bruce F Filson | Dentist | 277 3rd St N, Bayport, MN 55003-1028 | 2006-11-06 |
Find all providers in zip 55003 |
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 |
---|---|---|---|---|
1245758093 | Better Tomorrows Counseling, LLC | Substance Abuse Rehabilitation Facility | 422 N Hastings Ave Ste 206, Hastings, NE 68901-5109 | 2017-08-31 |
1598844177 | Dakota County Receiving Center | Substance Abuse Rehabilitation Facility | 1294 18th St E, Hastings, MN 55033-3680 | 2006-11-03 |
1952818551 | Pine Rest Christian Mental Health Services | Substance Abuse Rehabilitation Facility | 450 Meadow Run Dr, Hastings, MI 49058-9053 | 2018-01-04 |
1821491465 | Cochran Recovery Services, Inc. | Substance Abuse Rehabilitation Facility | 1294 18th St E, Bldg. 2, Hastings, MN 55033-3680 | 2014-09-26 |
1134394828 | Dakota County Receiving Center | Substance Abuse Rehabilitation Facility | 1294 18th St E, Bldg 2, Hastings, MN 55033-3680 | 2008-04-24 |
1114102027 | The Bridge, Inc | Substance Abuse Rehabilitation Facility | 907 S Kansas Ave, Hastings, NE 68901-7024 | 2008-01-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
1730791393 | Crecer Services | Substance Abuse Rehabilitation Facility | 220 Robert St S Ste 103, Saint Paul, MN 55107-1626 | 2020-08-17 |
1801405584 | Bridge Recovery LLC | Substance Abuse Rehabilitation Facility | 1485 10th Avenue Ne, Sauk Rapids, MN 56379-9838 | 2020-07-28 |
1710505821 | Rrecovery Services | Substance Abuse Rehabilitation Facility | 867 Pierce Butler Rte, Saint Paul, MN 55104-1522 | 2020-07-06 |
1912520966 | Avenues, LLC | Substance Abuse Rehabilitation Facility | 1990 Suburban Ave Ste 2000, Saint Paul, MN 55119-7001 | 2020-05-26 |
1962022939 | Valley View Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 31591 64th Ave, Cannon Falls, MN 55009-4296 | 2020-04-20 |
1801420039 | Recovery Center LLC | Substance Abuse Rehabilitation Facility | 109 W James St, Paynesville, MN 56362-1216 | 2020-02-26 |
1336772425 | Northern Minnesota Addiction Wellness Center | Substance Abuse Rehabilitation Facility | 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 | 2020-02-17 |
1386277622 | Community of Recovering People | Substance Abuse Rehabilitation Facility | 1221 Wayzata Blvd E, Wayzata, MN 55391-1942 | 2020-02-14 |
1992366645 | One Touch of Christ Evangelistic Ministries | Substance Abuse Rehabilitation Facility | 5701 Shingle Creek Pkwy Ste 650, Brooklyn Center, MN 55430-2492 | 2019-06-24 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on ODYSSEY PROGRAMS, LLC.
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.