Active NPI
Odyssey House of Utah, Inc.
- Community/Behavioral Health Agency
- Las Vegas, NV
National Provider Identifier
1356797294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- NV2015688985
- Legal business name
- ODYSSEY HOUSE OF UTAH, INC.
- Practice address
- 500 N Rainbow Blvd
Suite 300
Las Vegas, NV 89107-1082 - Phone
- (801) 428-3407
- NPI assigned
- May 10, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brian Pilcher
- Title
- Billing Manager
- Phone
- (801) 428-3407
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NV2015688985 | NV | Primary |
Addresses
Primary practice location
500 N Rainbow Blvd
Suite 300
Las Vegas, NV 89107-1082
Mailing address
344 E 100 S
Suite 301
Salt Lake City, UT 84111-1700
Phone (801) 428-3407
National Provider Directory
National Provider Directory- Tax ID family
- Odyssey House Inc
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462838400000",
"number": "1356797294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 E 100 S",
"address_2": "SUITE 301",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841111700",
"telephone_number": "801-428-3407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N RAINBOW BLVD",
"address_2": "SUITE 300",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891071082",
"telephone_number": "801-428-3407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ODYSSEY HOUSE OF UTAH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-10",
"last_updated": "2016-05-10",
"status": "A",
"authorized_official_last_name": "PILCHER",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "801-428-3407",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NV",
"license": "NV2015688985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.