FLINT ODYSSEY HOUSE, INC. (NPI# 1124505763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124505763 |
| Entity Type | Organization |
| Organization Name | FLINT ODYSSEY HOUSE, INC. |
| Practice Address |
1310 Martin Luther King Ave Flint MI 48503-1448 |
| Mailing Address |
529 Martin Luther King Blvd Flint MI 48502-2002 |
| Practice Telephone | 8102387226 |
| Mailing Telephone | 8102387226 |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |
| 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 | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
1310 MARTIN LUTHER KING AVE |
| City | FLINT |
| State | MI |
| Zip Code | 48503-1448 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1972130821 | The Serenity House of Flint | Community/Behavioral Health | 720 Ann Arbor St Ste 202, Flint, MI 48503-2696 | 2020-03-23 |
| 1861031098 | Grace Consulting Systems Inc. | Community/Behavioral Health | 2387 S Linden Rd Ste 104, Flint, MI 48532-5487 | 2020-01-06 |
| 1982267993 | New Paths, Inc. | Community/Behavioral Health | 927 Martin Luther King Ave, Flint, MI 48503-1488 | 2019-04-16 |
| 1225515869 | Flint Odyssey House, Inc | Community/Behavioral Health | 1215 Martin Luther King Ave, Flint, MI 48503-1445 | 2018-07-26 |
| 1134606775 | Flint Odyssey House, Inc | Community/Behavioral Health | 1316 Martin Luther King Ave, Flint, MI 48503-1448 | 2018-07-26 |
| 1164780268 | Vista Center | Community/Behavioral Health | 249 Peer Ave, Flint, MI 48503-4135 | 2012-04-26 |
| 1104108828 | Centered Insight Healing, Pllc | Community/Behavioral Health | 720 Ann Arbor St, Suite 305, Flint, MI 48503-2696 | 2011-09-20 |
| 1538450267 | Flint Odyssey House Inc. | Community/Behavioral Health | 1225 M L King Ave, Flint, MI 48503-1445 | 2011-04-28 |
| 1497986483 | Flint Odyssey House, Inc. | Community/Behavioral Health | 1108 Lapeer Rd, Flint, MI 48503-2704 | 2009-08-07 |
| Find all providers in FLINT | ||||
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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.