FLINT ODYSSEY HOUSE, INC. (NPI# 1982128393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982128393 |
| Entity Type | Organization |
| Organization Name | FLINT ODYSSEY HOUSE, INC. |
| Practice Address |
718 Oak St Flint MI 48503-2614 |
| Mailing Address |
529 M L King Ave Flint MI 48502-2002 |
| Practice Telephone | 8102387226 |
| Practice Fax Number | 8102395518 |
| Mailing Telephone | 8102387226 |
| Mailing Fax Number | 8102395518 |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2017-07-27 |
| Authorized Official Name | KIMBERLY MEG SHEWMAKER (DIRECTOR OF PROGRAM OPERATIONS) |
| Authorized Official Telephone | 8102387226 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2595664 | 05 |
| 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 |
| 1679051759 | Flint Odyssey House, Inc. | Substance Abuse Rehabilitation Facility | 718 Griswold St, Port Huron, MI 48060-5847 | 2018-08-01 |
| 1841325172 | Flint Odyssey House, Inc. | Substance Abuse Rehabilitation Facility | 529 M L King Ave, Flint, MI 48502-2002 | 2007-02-23 |
| Street Address |
718 OAK ST |
| City | FLINT |
| State | MI |
| Zip Code | 48503-2614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548820863 | Omar Hyatt | Peer Specialist | 718 Oak St, Flint, MI 48503-2614 | 2019-06-18 |
| 1689186363 | Joycelynn Yvonne Glover Ellison | Psychologist | 718 Oak St, Flint, MI 48503-2614 | 2017-11-02 |
| 1730691577 | Nichole Leann Landers | Peer Specialist | 718 Oak St, Flint, MI 48503-2614 | 2017-11-02 |
| 1366890584 | Larcia Latimer | Social Worker | 718 Oak St, Flint, MI 48503-2614 | 2016-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
| Find all providers in zip 48503 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972156701 | Flint Odyssey House Inc. | Substance Abuse Rehabilitation Facility | 932 Beach St, Flint, MI 48502-1502 | 2019-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669899241 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 104 Malton Road, Negaunee, MI 49866 | 2014-03-21 |
| 1851682215 | Detroit Rescue Mission Ministries | Substance Abuse Rehabilitation Facility | 19211 Anglin, Detroit, MI 48234 | 2011-04-20 |
| 1881921401 | Todd-phillips Children's Home | Substance Abuse Rehabilitation Facility | 8141 E Outer Dr, Detroit, MI 48213-1323 | 2009-11-04 |
| 1851544688 | Lois Ann Brown-nelson | Substance Abuse Rehabilitation Facility | 14460 Mayfield St, Detroit, MI 48205-4131 | 2008-10-24 |
| 1891978441 | Wolverine Human Services | Substance Abuse Rehabilitation Facility | 150 Enterprise Dr, Vassar, MI 48768-9584 | 2007-12-06 |
| 1588706915 | Starr Commonwealth | Substance Abuse Rehabilitation Facility | 13725 Starr Commonwealth, Albion, MI 49224-9580 | 2007-02-13 |
| 1891851226 | P.e.a.c.e. In Young Life Center, Inc. | Substance Abuse Rehabilitation Facility | 15471 Cloverlawn St, Ste 101, Detroit, MI 48238-1146 | 2006-12-29 |
| 1831682947 | Michele Baldori | Substance Abuse Rehabilitation Facility | 50430 School House Rd, Canton, MI 48187-5910 | 2018-06-13 |
| 1437536802 | Detroit Rescue Mission Ministries | Substance Abuse Rehabilitation Facility | 19211 Anglin St, Detroit, MI 48234-1460 | 2015-05-05 |
| 1215203963 | Steps II Sap LLC | Substance Abuse Rehabilitation Facility | 8141 E Outer Dr, Detroit, MI 48213-1323 | 2012-03-27 |
| Find all providers with the same taxonomy | ||||
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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.