NPIMap

Organization Active NPI

Flint Odyssey House, Inc.

  • Community/Behavioral Health Agency
  • Flint, MI
National Provider Identifier
1114597572
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FLINT ODYSSEY HOUSE, INC.
Practice address
1216 Martin Luther King Ave
Flint, MI 48503-1446
Phone
(810) 238-5888
NPI assigned
Jun 29, 2021
Organization subpart
Yes
Parent organization
FLINT ODYSSEY HOUSE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Authorized official

Name
Mrs. Rochell Denell Harper-Shelton, MSANPI 1275001802
Title
Executive Coordinator
Phone
(810) 238-7226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1216 Martin Luther King Ave
Flint, MI 48503-1446

Mailing address

529 Martin Luther King Junior Blvd
Flint, MI 48502-2002
Phone (810) 238-5888

National Provider Directory

National Provider Directory
Tax ID family
Flint Odyssey House Inc28 organizations share this tax ID, including this one
Part of
Flint Odyssey House Inc

Other organizations with this tax ID 27

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

View all 27

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1114597572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 MARTIN LUTHER KING JUNIOR BLVD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485022002",
            "telephone_number": "810-238-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 MARTIN LUTHER KING AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485031446",
            "telephone_number": "810-238-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLINT ODYSSEY HOUSE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLINT ODYSSEY HOUSE, INC.",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "HARPER-SHELTON",
        "authorized_official_first_name": "ROCHELL",
        "authorized_official_middle_name": "DENELL",
        "authorized_official_title_or_position": "EXECUTIVE COORDINATOR",
        "authorized_official_telephone_number": "810-238-7226",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.