Odyssey TLC Adult Daycare,Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

101804 Issued in TX

Legal business name

ODYSSEY TLC ADULT DAYCARE,INC.

Practice address

220 N Vista Dr
Houston, TX 77073-5385

Phone

(281) 787-1429

NPI assigned

Mar 23, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Dimitra Ann Kellun, LMSW

Title

Director

Phone

(281) 787-1429

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1356582209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N VISTA DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770735385",
            "telephone_number": "281-787-1429",
            "fax_number": "281-784-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N VISTA DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770735385",
            "telephone_number": "281-787-1429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2115 Cypress Landing Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770903601",
            "country_code": "US",
            "telephone_number": "281-787-1429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ODYSSEY TLC ADULT DAYCARE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-23",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "KELLUN",
        "authorized_official_first_name": "DIMITRA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "281-787-1429",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": "101804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Odyssey Day Services Inc
• Odyssey Emergency Medical, LLC
• Odyssey House Call Practice LLC
• Odyssey House Texas Inc
• Odyssey Stability Support Services Inc
• Jasandra Lourdes Oeffinger, LPC
• Abigail Oehler, LPC, CRC
• Laura Oehler, APRN, FNP-C
• Gregory Keith Oelfke, D.D.S.
• Betty Kalianda Oetama, M.D.

• Adult Day Care Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Adult Day Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.