NPIMap

Organization Active NPI

Odyssey House Louisiana, Inc

  • Substance Abuse Rehabilitation Facility
  • Lake Charles, LA
National Provider Identifier
1285286476
Registry record updated Jul 9, 2019
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
4012 Avenue H
Lake Charles, LA 70615-5186
Phone
(337) 433-3786
Fax
(504) 267-8571
NPI assigned
Jul 9, 2019
Last updated
Jul 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Authorized official

Name
Amberzette K Mulkey
Title
Executive Assistant
Phone
(504) 220-8058

Specialties & licenses 1

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

Addresses

Primary practice location

4012 Avenue H
Lake Charles, LA 70615-5186

Mailing address

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

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL ohlinc.org
Other URL ohlinc.org

National Provider Directory

National Provider Directory
Tax ID family
Odyssey House of la 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

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1285286476",
    "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": "4012 AVENUE H",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706155186",
            "telephone_number": "337-433-3786",
            "fax_number": "504-267-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY HOUSE LOUISIANA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A",
        "authorized_official_last_name": "MULKEY",
        "authorized_official_first_name": "AMBERZETTE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "504-220-8058"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ohlinc.org",
            "affiliation": "N",
            "endpointDescription": "Adult Residential",
            "address_1": "4012 Avenue H",
            "city": "Lake Charles",
            "state": "LA",
            "country_code": "US",
            "postal_code": "706155186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ohlinc.org",
            "affiliation": "N",
            "endpointDescription": "Adult Residential",
            "address_1": "4012 Avenue H",
            "city": "Lake Charles",
            "state": "LA",
            "country_code": "US",
            "postal_code": "706155186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.