NPIMap

Organization Active NPI

Odyssey House Louisiana, Inc

  • Substance Abuse Rehabilitation Facility
  • New Orleans, LA
National Provider Identifier
1134788797
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
ODYSSEY HOUSE LOUISIANA, INC
Practice address
2700 S. Broad St
New Orleans, LA 70125
Phone
(504) 821-9211
Fax
(504) 267-8571
NPI assigned
Jun 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Amberzette Mulkey
Title
Exec. Assistant
Phone
(504) 821-9211

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

2700 S. Broad St
New Orleans, LA 70125

Mailing address

1125 N Tonti St
New Orleans, LA 70119-3598
Phone (504) 821-9211

National Provider Directory

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

Other organizations with this tax ID 13

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

View all 13

Locations

2700 S Broad St
New Orleans, LA 70125
Phone (504) 383-8559

NPI Registry JSON

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1134788797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 N TONTI ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701193598",
            "telephone_number": "504-821-9211",
            "fax_number": "504-267-8571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 S. BROAD ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70125",
            "telephone_number": "504-821-9211",
            "fax_number": "504-267-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY HOUSE LOUISIANA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-07",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "MULKEY",
        "authorized_official_first_name": "AMBERZETTE",
        "authorized_official_title_or_position": "EXEC. ASSISTANT",
        "authorized_official_telephone_number": "504-821-9211"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.