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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| OHL Detox | Doing Business As Name - Organization |
| OHL Detox FQHC | Doing Business As Name - Organization |
| 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 |
| 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 |
| Street Address |
4730 WASHINGTON AVE |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70125-1226 |
| 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 |
| 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 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 |
|---|---|---|---|---|
| 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 | ||||
| City | NEW ORLEANS |
| Zip Code | 70125 |
Please comment or provide details below to improve the information on ODYSSEY HOUSE LOUISIANA, INC.
| 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.