ODYSSEY HOUSE LOUISIANA, INC


Address: 4730 Washington Ave, New Orleans, LA 70125-1226
Phone: 5048219211

ODYSSEY HOUSE LOUISIANA, INC (NPI# 1245729045) 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) 1245729045
Entity Type Organization
Organization Name ODYSSEY HOUSE LOUISIANA, INC
Other Organization Name OHL DETOX
Practice Address 4730 Washington Ave
New Orleans
LA 70125-1226
Mailing Address 1125 N Tonti St
New Orleans
LA 70119-3549
Practice Telephone 5048219211
Enumeration Date 2018-05-07
Last Update Date 2020-03-25
Authorized Official Name AMY BRIGGS BOSWORTH (PROGRAM DIRECTOR)
Authorized Official Telephone 5048219211
Is Organization Subpart Y
Parent Organization Name ODYSSEY HOUSE LOUISIANA, INC

Taxonomy

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

Other Provider/Organization Names

Other Name Type Code
OHL Detox Doing Business As Name - Organization
OHL Detox FQHC Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1134788797 Odyssey House Louisiana, Inc Substance Abuse Rehabilitation Facility 2700 S. Broad St, New Orleans, LA 70125 2019-06-07
1285286476 Odyssey House Louisiana, Inc Substance Abuse Rehabilitation Facility 4012 Avenue H, Lake Charles, LA 70615-5186 2019-07-09
1679132179 Odyssey House Louisiana, Inc Clinic/Center 2700 S. Broad St, New Orleans, LA 70125 2019-06-08
1588065569 Odyssey House Louisiana, Inc Substance Abuse Rehabilitation Facility 1125 N Tonti St, New Orleans, LA 70119-3549 2014-09-10

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities ODYSSEY HOUSE LOUISIANA, INC. 1125 N Tonti St, New Orleans, LA 70119-3549

Office Location

Street Address 4730 WASHINGTON AVE
City NEW ORLEANS
State LA
Zip Code 70125-1226

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750733267 Sammy Sabine Counselor 4730 Washington Ave, New Orleans, LA 70125-1226 2016-07-08
1447878715 Shequita Casby Licensed Practical Nurse 4730 Washington Ave, New Orleans, LA 70125-1226 2020-07-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780202127 Allison Skapik Counselor 2700 South Broad St, New Orleans, LA 70125 2020-07-13
1578185781 Prestige Medical Staffing and Marketing Family Medicine 4108 Vendome Place, New Orleans, LA 70125 2020-05-11
1134788797 Odyssey House Louisiana, Inc Substance Abuse Rehabilitation Facility 2700 S. Broad St, New Orleans, LA 70125 2019-06-07
1356906812 Jinaki Flint Psychologist 7934 Edinburgh Street, New Orleans, LA 70125 2019-05-09
1043702814 Unh Counseling Services, LLC Community/Behavioral Health 1050 S Jefferson Davis Pkwy Ste 239, New Orleans, LA 70125 2018-06-06
1952825101 Le'asya Mona' Hudson Counselor 909 S. Broad Ave., New Orleans, LA 70125 2017-07-31
1467982298 Deanna Simon Counselor 1608 S. Salcedo St., New Orleans, LA 70125 2017-06-14
1184152340 Letrainiump Kivante Richard Case Manager/Care Coordinator 7830 Colapissa St, New Orleans, LA 70125 2017-05-31
1073052502 Tanjah Woods Counselor 3219 Louisiana, New Orleans, LA 70125 2017-02-16
1255875845 Wendi Cooper Behavior Technician 1050 S Jefferson Davis Pkwy Suite 212, New Orleans, LA 70125 2016-12-15
Find all providers in zip 70125

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
1134788797 Odyssey House Louisiana, Inc Substance Abuse Rehabilitation Facility 2700 S. Broad St, New Orleans, LA 70125 2019-06-07
1659893253 Qualis Care of Louisiana LLC Substance Abuse Rehabilitation Facility 4201 Woodland Dr Fl 3, New Orleans, LA 70131-7339 2017-07-14
1285155515 Encounter Medical Group, P.C. Dba Two Dreams New Orleans Substance Abuse Rehabilitation Facility 1820 St. Charles Ave., Suite 212, New Orleans, LA 70130 2017-06-27
1326570458 Greater New Orleans Teen Challenge Inc. Substance Abuse Rehabilitation Facility 1905 Franklin Ave, New Orleans, LA 70117-7603 2017-03-29
1801168109 Bridge House Corporation Substance Abuse Rehabilitation Facility 6311 Stratford Pl, Bldg. D, New Orleans, LA 70131-7325 2012-02-01
1689966558 Bridge House Corporation Substance Abuse Rehabilitation Facility 4150 Earhart Blvd, New Orleans, LA 70125-1955 2011-05-10
1851992762 Bridge House Inc. Substance Abuse Rehabilitation Facility 4150 Earhart Blvd, New Orleans, LA 70125-1955 2020-11-06
1164989802 Lake Wellness Center, LLC Substance Abuse Rehabilitation Facility 3620 Chestnut St, New Orleans, LA 70115-3615 2019-03-01
1922553353 Project Lazarus Substance Abuse Rehabilitation Facility 2824 Dauphine St, New Orleans, LA 70117-7324 2016-08-15
1497109078 Odyssey House of La Inc Substance Abuse Rehabilitation Facility 1125 N Tonti St, New Orleans, LA 70119-3549 2016-04-20
Find all providers in NEW ORLEANS

Competitor

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City NEW ORLEANS
Zip Code 70125

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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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