FLINT ODYSSEY HOUSE, INC. (NPI# 1679051759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679051759 |
| Entity Type | Organization |
| Organization Name | FLINT ODYSSEY HOUSE, INC. |
| Practice Address |
718 Griswold St Port Huron MI 48060-5847 |
| Mailing Address |
529 Martin Luther King Blvd Flint MI 48502-2002 |
| Practice Telephone | 8109375366 |
| Practice Fax Number | 8109375172 |
| Mailing Telephone | 8102387226 |
| Mailing Fax Number | 8102385518 |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-08-01 |
| Authorized Official Name | ROCHELL DENELL HARPER-SHELTON (EXECUTIVE COORDINATOR) |
| Authorized Official Telephone | 8102387226 |
| Authorized Official Credential | MSA |
| Is Organization Subpart | Y |
| Parent Organization Name | FLINT ODYSSEY HOUSE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124505763 | Flint Odyssey House, Inc. | Community/Behavioral Health | 1310 Martin Luther King Ave, Flint, MI 48503-1448 | 2018-07-26 |
| 1194112771 | Flint Odyssey House, Inc. | Community/Behavioral Health | 1431 Lapeer Ave, Port Huron, MI 48060-4277 | 2015-04-21 |
| 1497986483 | Flint Odyssey House, Inc. | Community/Behavioral Health | 1108 Lapeer Rd, Flint, MI 48503-2704 | 2009-08-07 |
| 1982128393 | Flint Odyssey House, Inc. | Substance Abuse Rehabilitation Facility | 718 Oak St, Flint, MI 48503-2614 | 2017-07-27 |
| 1841325172 | Flint Odyssey House, Inc. | Substance Abuse Rehabilitation Facility | 529 M L King Ave, Flint, MI 48502-2002 | 2007-02-23 |
| Street Address |
718 GRISWOLD ST |
| City | PORT HURON |
| State | MI |
| Zip Code | 48060-5847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740415561 | Scott Albert | Chiropractor | 718 Griswold St, Port Huron, MI 48060-5847 | 2009-05-22 |
| 1134465412 | Steven Nicholas Albert | Chiropractor | 718 Griswold St, Port Huron, MI 48060-5847 | 2012-12-14 |
| 1881821486 | Huron Wellness Professional Limited | Chiropractor | 718 Griswold St, Port Huron, MI 48060-5847 | 2009-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
| 1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
| 1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
| 1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
| 1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
| 1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
| 1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
| 1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
| 1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
| Find all providers in zip 48060 | ||||
| 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 |
|---|---|---|---|---|
| 1366063810 | Nc Recovery House LLC | Substance Abuse Rehabilitation Facility | 777 Colfax Ave, Benton Harbor, MI 49022-7406 | 2020-05-06 |
| 1235789074 | Green Castle Recovery Centers, LLC. | Substance Abuse Rehabilitation Facility | 233 Fulton St E Ste 101, Grand Rapids, MI 49503-3262 | 2019-09-13 |
| 1043773047 | New Paths, Inc. | Substance Abuse Rehabilitation Facility | 909 Martin Luther King Ave, Flint, MI 48503-1488 | 2019-04-08 |
| 1831651330 | Bethany House Recovery House | Substance Abuse Rehabilitation Facility | 722 S Rose St, Kalamazoo, MI 49007-5216 | 2019-04-03 |
| 1639631138 | Hope House Recovery House | Substance Abuse Rehabilitation Facility | 131 S Nottawa St, Sturgis, MI 49091-1736 | 2019-04-03 |
| 1811459324 | Healing House | Substance Abuse Rehabilitation Facility | 721 S Rose St Apt B, Kalamazoo, MI 49007-6200 | 2019-04-03 |
| 1669932109 | Inner Man Wellness and Support Services | Substance Abuse Rehabilitation Facility | 4890 Ballantrae Rd, Bloomfield, MI 48301-1000 | 2019-03-21 |
| 1528526266 | Mid-michigan Recovery Center | Substance Abuse Rehabilitation Facility | 3821 N Grant Ave, Harrison, MI 48625-9606 | 2019-03-12 |
| 1316410681 | The Light Treatment & Rehabilitation LLC | Substance Abuse Rehabilitation Facility | 5380 Kreger St, Sterling Heights, MI 48310-5728 | 2019-01-09 |
| 1306321179 | Yarrow Lodge, LLC | Substance Abuse Rehabilitation Facility | 10677 N 48th Street, Augusta, MI 49012 | 2018-09-27 |
| Find all providers with the same taxonomy | ||||
| City | PORT HURON |
| Zip Code | 48060 |
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| 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.