Organization Active NPI

Odyssey Adult Daycare

  • Point of Service
  • Spring, TX
National Provider Identifier
1649455387
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
ODYSSEY ADULT DAYCARE
Practice address
18303 Strack Dr
Spring, TX 77379-8140
Phone
(281) 370-2200
NPI assigned
Dec 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Authorized official

Name
Ms. Dimitra A Kellum
Title
Director
Phone
(281) 370-2200

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary
Skilled Nursing Facility 314000000X
Non-emergency Medical Transport (VAN) 343900000X
Respite Care 385H00000X

Addresses

Primary practice location

18303 Strack Dr
Spring, TX 77379-8140

Mailing address

18303 Strack Dr
Spring, TX 77379-8140
Phone (281) 370-2200

National Provider Directory

National Provider Directory

Locations

18303 Strack Dr
Spring, TX 77379
Phone (281) 370-2200

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1649455387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18303 STRACK DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773798140",
            "telephone_number": "281-370-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18303 STRACK DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773798140",
            "telephone_number": "281-370-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY ADULT DAYCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "KELLUM",
        "authorized_official_first_name": "DIMITRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "281-370-2200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.