Odyssey House

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

7763887-6004 Issued in UT

Legal business name

ODYSSEY HOUSE

Doing business as

Odyssey House

Practice address

340 East 100 South
Odyssey House
Salt Lake City, UT 84111

Phone

(801) 322-4257

NPI assigned

Oct 20, 2010

Last updated

Oct 20, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

ODYSSEY HOUSEAs reported in NPPES

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

Authorized official

Name

Mr. Albert M Ochoa, CSAC-I

Title

Substance Abuse Counsler

Phone

(801) 699-5917

Specialties & licenses 1

Addresses

Other names 1

• Odyssey House Doing business as

Part of

Odyssey House

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1326358599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 EAST 100 SOUTH",
            "address_2": "ODYSSEY HOUSE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84111",
            "telephone_number": "801-322-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 EAST 100 SOUTH",
            "address_2": "ODYSSEY HOUSE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84111",
            "telephone_number": "801-322-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY HOUSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ODYSSEY HOUSE",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "OCHOA",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SUBSTANCE ABUSE COUNSLER",
        "authorized_official_telephone_number": "801-699-5917",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSAC-I"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "UT",
            "license": "7763887-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Odyssey House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Oduntan
• Glory Oduntan
• Odyssey Healthcare Operating a LP (Odyssey HealthCare of Salt Lake City)
• Odyssey House
• Odyssey House
• Odyssey House
• Odyssey House Corp
• Odyssey House Corp
• Odyssey House Corp
• Odyssey House Corp

• Substance Abuse Rehabilitation Facility in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Substance Abuse Rehabilitation Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.