NPIMap

Organization Active NPI

Flint Odyssey House Inc.

  • Community/Behavioral Health Agency
  • Flint, MI
National Provider Identifier
1457971640
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FLINT ODYSSEY HOUSE INC.
Doing business as
Flint Odyssey House Inc
Practice address
1219 Martin Luther King Avenue
Flint, MI 48503
Phone
(810) 238-7226
NPI assigned
Apr 17, 2020
Last updated
Apr 17, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
FLINT ODYSSEY HOUSE INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Authorized official

Name
Rochell Denell Harper-Shelton, MSANPI 1275001802
Title
Executive Coordinator
Phone
(810) 238-7226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1219 Martin Luther King Avenue
Flint, MI 48503

Mailing address

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

Other names 1

  • FLINT ODYSSEY HOUSE INC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Saginaw Odyssey House Inc28 organizations share this tax ID, including this one
Part of
Saginaw 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

Locations

1219 Martin Luther King Ave
Flint, MI 48503

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1457971640",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 MARTIN LUTHER KING AVENUE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48503",
            "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": "2020-04-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLINT ODYSSEY HOUSE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 17, 2020; 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.