NPIMap

Organization Active NPI

Odyssey House Corp

  • Substance Abuse Rehabilitation Facility
  • Salt Lake City, UT
National Provider Identifier
1104265537
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
ODYSSEY HOUSE CORP
Practice address
68 S 600 E
Salt Lake City, UT 84102-1007
Phone
(928) 708-9615
NPI assigned
Jun 19, 2013
Organization subpart
Yes
Parent organization
ODYSSEY HOUSE CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matthew Luchini
Title
Account Manager
Phone
(928) 533-4220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

68 S 600 E
Salt Lake City, UT 84102-1007

Mailing address

344 E 100 S
Suite 301
Salt Lake City, UT 84111-1700

National Provider Directory

National Provider Directory
Tax ID family
Odyssey House Inc14 organizations share this tax ID, including this one
Part of
Odyssey House Inc

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

743 W 300 S
Salt Lake City, UT 84104

68 S 600 E
Slc, UT 84102
Phone (801) 322-1001

2411 S 1070 W
West Valley City, UT 84119

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1104265537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 E 100 S",
            "address_2": "SUITE 301",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 S 600 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021007",
            "telephone_number": "928-708-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY HOUSE CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ODYSSEY HOUSE CORP",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "LUCHINI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "928-533-4220"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.