NPIMap

Organization Active NPI

Flint Odyssey House, Inc

  • Community/Behavioral Health Agency
  • Flint, MI
National Provider Identifier
1225515869
Registry record updated Oct 20, 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
1215 Martin Luther King Ave
Flint, MI 48503-1445
Phone
(810) 238-7226
NPI assigned
Jul 26, 2018
Organization subpart
Yes
Parent organization
FLINT ODYSSEY HOUSE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Authorized official

Name
Rochell Denell Harper-Shelton, MSA
Title
Executive Coordinator
Phone
(810) 238-7226

Specialties & licenses 1

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

Addresses

Primary practice location

1215 Martin Luther King Ave
Flint, MI 48503-1445

Mailing address

529 Martin Luther King Blvd
Flint, MI 48502-2002
Phone (810) 238-7226

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

NPI Registry JSON

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1225515869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 MARTIN LUTHER KING BLVD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485022002",
            "telephone_number": "810-238-7226",
            "fax_number": "810-239-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 MARTIN LUTHER KING AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485031445",
            "telephone_number": "810-238-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLINT ODYSSEY HOUSE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLINT ODYSSEY HOUSE, INC",
        "enumeration_date": "2018-07-26",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "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_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 Oct 20, 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.