NPIMap

Organization Active NPI

Flint Odyssey House, Inc.

  • Community/Behavioral Health Agency
  • Flint, MI
National Provider Identifier
1497986483
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
250349 Issued in MI
Legal business name
FLINT ODYSSEY HOUSE, INC.
Practice address
1108 Lapeer Rd
Flint, MI 48503-2704
Phone
(810) 238-5888
NPI assigned
Aug 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Authorized official

Name
Mrs. Kimberly Meg Shewmaker, LMSW, CAAC, CCS-M
Title
Administrativedirector
Phone
(810) 238-7226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 250349 MI Primary

Addresses

Primary practice location

1108 Lapeer Rd
Flint, MI 48503-2704

Mailing address

529 M L King Ave
Flint, MI 48502-2002
Phone (810) 238-7226

National Provider Directory

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

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1497986483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 M L KING AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485022002",
            "telephone_number": "810-238-7226",
            "fax_number": "810-239-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 LAPEER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032704",
            "telephone_number": "810-238-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLINT ODYSSEY HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-07",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "SHEWMAKER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "MEG",
        "authorized_official_title_or_position": "ADMINISTRATIVEDIRECTOR",
        "authorized_official_telephone_number": "810-238-7226",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW, CAAC, CCS-M"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "250349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 20, 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.